HANNAH DURHAM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

ACTIVE

Business

First Name

HANNAH

Last Name

DURHAM

Business Name

HANNAH DURHAM

Original Issue Date

05/01/2023

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026