KALYN MARIE HARKER 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

KALYN

Middle

MARIE

Last Name

HARKER

Business Name

KALYN MARIE HARKER

Original Issue Date

12/05/2017

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

PEORIA

State

Zip

61636

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022