COURTNEY BETH STEWART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

BETH

Last Name

STEWART

Business Name

COURTNEY BETH STEWART

Original Issue Date

12/01/2016

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022