ALICIA RENEE HIGH Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

INOPERATIVE

Business

First Name

ALICIA

Middle

RENEE

Last Name

HIGH

Business Name

ALICIA RENEE HIGH

Original Issue Date

01/20/2009

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

03/04/2015