AMY MARIE POPE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

INOPERATIVE

Business

First Name

AMY

Middle

MARIE

Last Name

POPE

Business Name

AMY MARIE POPE

Original Issue Date

09/07/2010

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

SPRINGFIELD

State

Zip

62781

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2018