JUSTIN R ALLPHIN Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

INOPERATIVE

Business

First Name

JUSTIN

Middle

Last Name

ALLPHIN

Business Name

JUSTIN R ALLPHIN

Original Issue Date

09/12/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2018