ABBY L BELK Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

INOPERATIVE

Business

First Name

ABBY

Middle

Last Name

BELK

Business Name

ABBY L BELK

Original Issue Date

10/02/2015

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/02/2018