CHERI W KELLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****30

License Status

NOT RENEWED

Business

First Name

CHERI

Middle

Last Name

KELLY

Business Name

CHERI W KELLY

Original Issue Date

03/12/2001

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

05/02/2018