AMY J STEVENS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

STEVENS

Business Name

AMY J STEVENS

Original Issue Date

10/31/2002

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

11/24/2020