KOREN KIMBERLEY SCHRAM 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

KOREN

Middle

KIMBERLEY

Last Name

SCHRAM

Business Name

KOREN KIMBERLEY SCHRAM

Original Issue Date

04/08/2019

Effective Date

04/08/2019

Expiration Date

03/01/2020

City

O'FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020