COURTNEY SCOTT DORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****25

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

SCOTT

Last Name

DORAN

Business Name

COURTNEY SCOTT DORAN

Original Issue Date

05/08/2003

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

URBANA

State

Zip

61802

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/08/2014