CHRISTINE ANN POWERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ANN

Last Name

POWERS

Business Name

CHRISTINE ANN POWERS

Original Issue Date

03/16/2001

Effective Date

02/26/2010

Expiration Date

03/01/2012

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

04/16/2012