ANITA SHARMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****19

License Status

NOT RENEWED

Business

First Name

ANITA

Last Name

SHARMA

Business Name

ANITA SHARMA

Original Issue Date

03/03/2015

Effective Date

04/03/2020

Expiration Date

03/01/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022