VALERIE LYNN POIRIER 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

VALERIE

Middle

LYNN

Last Name

POIRIER

Business Name

VALERIE LYNN POIRIER

Original Issue Date

10/30/2018

Effective Date

10/30/2018

Expiration Date

03/01/2020

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020