KELLY R HAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HAND

Business Name

KELLY R HAND

Original Issue Date

12/05/2003

Effective Date

03/13/2018

Expiration Date

03/01/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

11/24/2020