KARA L PRATT 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

KARA

Middle

Last Name

PRATT

Business Name

KARA L PRATT

Original Issue Date

03/28/2019

Effective Date

02/13/2020

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022