KELLI MARGARET HINCE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

INOPERATIVE

Business

First Name

KELLI

Middle

MARGARET

Last Name

HINCE

Business Name

KELLI MARGARET HINCE

Original Issue Date

12/09/2014

Effective Date

02/02/2016

Expiration Date

03/01/2018

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/02/2018