KARI M BELLIS 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

KARI

Middle

Last Name

BELLIS

Business Name

KARI M BELLIS

Original Issue Date

03/12/2010

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022