MELODY ANN HOF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****35

License Status

NOT RENEWED

Business

First Name

MELODY

Middle

ANN

Last Name

HOF

Business Name

MELODY ANN HOF

Original Issue Date

03/26/2001

Effective Date

03/16/2012

Expiration Date

03/01/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/10/2017