KATHRYN COOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

KATHRYN

Last Name

COOK

Business Name

KATHRYN COOK

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

03/01/2022

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022