WILLIAM EDWARD BUCKETT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****13

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

EDWARD

Last Name

BUCKETT

Business Name

WILLIAM EDWARD BUCKETT

Original Issue Date

09/05/2014

Effective Date

02/02/2026

Expiration Date

03/01/2028

City

CENTRALIA

State

Zip

62801

County

MARION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/02/2026