ALEXA RAE EGGERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****39

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

RAE

Last Name

EGGERT

Business Name

ALEXA RAE EGGERT

Original Issue Date

06/29/2020

Effective Date

02/18/2022

Expiration Date

03/01/2024

City

SILVIS

State

Zip

61282

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025