ALAN WILLIAM MCMULLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****41

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

WILLIAM

Last Name

MCMULLIN

Business Name

ALAN WILLIAM MCMULLIN

Original Issue Date

10/22/2008

Effective Date

11/28/2018

Expiration Date

03/01/2020

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

11/24/2020