CARTER K MCGOWEN 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

CARTER

Middle

Last Name

MCGOWEN

Business Name

CARTER K MCGOWEN

Original Issue Date

05/17/2019

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/08/2024