ALEXANDRA CHRISTINE MCCOLLUM Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

ACTIVE

Business

First Name

ALEXANDRA

Middle

CHRISTINE

Last Name

MCCOLLUM

Business Name

ALEXANDRA CHRISTINE MCCOLLUM

Original Issue Date

11/05/2018

Effective Date

12/16/2025

Expiration Date

03/01/2028

City

MATTOON

State

Zip

61938

County

COLES

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/16/2025