CYNTHIA MARIE EMILY 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

CYNTHIA

Middle

MARIE

Last Name

EMILY

Business Name

CYNTHIA MARIE EMILY

Original Issue Date

11/05/2010

Effective Date

02/28/2012

Expiration Date

03/01/2014

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/14/2013