AMY WELLS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****09

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

WELLS

Business Name

AMY WELLS

Original Issue Date

05/04/2005

Effective Date

02/17/2010

Expiration Date

03/01/2012

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/20/2015