ABIGAIL L KULP Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****05

License Status

ACTIVE

Business

First Name

ABIGAIL

Middle

Last Name

KULP

Business Name

ABIGAIL L KULP

Original Issue Date

06/06/2024

Effective Date

06/06/2024

Expiration Date

03/01/2026

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025