KEELY L COOK 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

KEELY

Middle

Last Name

COOK

Business Name

KEELY L COOK

Original Issue Date

07/24/2007

Effective Date

02/14/2014

Expiration Date

03/01/2016

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

03/17/2016