LAURA J HILLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****36

License Status

NOT RENEWED

Business

First Name

LAURA J

Last Name

HILLIS

Business Name

LAURA J HILLIS

Original Issue Date

03/26/2001

Effective Date

03/26/2001

Expiration Date

03/01/2004

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

09/26/2006