JUSTIN R ALLPHIN - Physician Assistant License in Illinois | # 38*****28

JUSTIN R ALLPHIN

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

N

First Name

JUSTIN

Middle

R

Last Name

ALLPHIN

Business Name

JUSTIN R ALLPHIN

Original Issue Date

09/12/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2018