MACY HENSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

ACTIVE

Business

First Name

MACY

Last Name

HENSON

Prefix

Business Name

MACY HENSON

Original Issue Date

03/29/2019

Effective Date

01/23/2024

Expiration Date

03/01/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025