STACIE LEE SWISHER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****40

License Status

NOT RENEWED

Business

First Name

STACIE

Middle

LEE

Last Name

SWISHER

Business Name

STACIE LEE SWISHER

Original Issue Date

12/29/2015

Effective Date

02/20/2022

Expiration Date

03/01/2024

City

ST CHARLES

State

Zip

60174

County

KANE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025