AGNES B DELANEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

AGNES

Middle

Last Name

DELANEY

Business Name

AGNES B DELANEY

Original Issue Date

12/09/2003

Effective Date

01/06/2026

Expiration Date

03/01/2028

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/06/2026