MINDY MARIE CARNEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

NOT RENEWED

Business

First Name

MINDY

Middle

MARIE

Last Name

CARNEY

Business Name

MINDY MARIE CARNEY

Original Issue Date

08/09/2011

Effective Date

01/25/2012

Expiration Date

03/01/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

11/18/2015