COURTNEY ERIN AMIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

ERIN

Last Name

AMIN

Business Name

COURTNEY ERIN AMIN

Original Issue Date

07/15/2014

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/10/2018