ALICIA K CREMEENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

Last Name

CREMEENS

Business Name

ALICIA K CREMEENS

Original Issue Date

11/04/2009

Effective Date

02/14/2022

Expiration Date

03/01/2024

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025