MICHAEL WAYNE KING Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****24

License Status

INOPERATIVE

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

KING

Business Name

MICHAEL WAYNE KING

Original Issue Date

01/30/2001

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

01/04/2022