LINDSEY ANN SPENCER 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

LINDSEY

Middle

ANN

Last Name

SPENCER

Business Name

LINDSEY ANN SPENCER

Original Issue Date

04/10/2006

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2018