TOGAN L COTTRELL 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

TOGAN

Middle

Last Name

COTTRELL

Business Name

TOGAN L COTTRELL

Original Issue Date

09/19/2017

Effective Date

09/19/2017

Expiration Date

03/01/2018

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

01/13/2020