VICTORIA DIANE STYNINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****33

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

DIANE

Last Name

STYNINGER

Business Name

VICTORIA DIANE STYNINGER

Original Issue Date

04/10/2002

Effective Date

05/11/2018

Expiration Date

03/01/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/24/2020