JAMES STEPHEN PHARES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****23

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

STEPHEN

Last Name

PHARES

Business Name

JAMES STEPHEN PHARES

Original Issue Date

04/07/2010

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/26/2018