BREE ANN DALLINGA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

NOT RENEWED

Business

First Name

BREE

Middle

ANN

Last Name

DALLINGA

Business Name

BREE ANN DALLINGA

Original Issue Date

10/23/2019

Effective Date

02/25/2020

Expiration Date

03/01/2022

City

AURORA

State

Zip

60502

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022