COLLEEN B KEMP Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

INOPERATIVE

Business

First Name

COLLEEN

Middle

Last Name

KEMP

Business Name

COLLEEN B KEMP

Original Issue Date

10/03/2013

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/02/2018