KRISTINE RENEE FLEMING Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****37

License Status

ACTIVE

Business

First Name

KRISTINE

Middle

RENEE

Last Name

FLEMING

Business Name

KRISTINE RENEE FLEMING

Original Issue Date

03/31/2021

Effective Date

05/21/2024

Expiration Date

03/01/2026

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025