JUSTIN L NORTHCUTT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****43

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

NORTHCUTT

Business Name

JUSTIN L NORTHCUTT

Original Issue Date

03/17/2020

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025