SUSAN J AMEISS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****47

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

AMEISS

Business Name

SUSAN J AMEISS

Original Issue Date

09/27/2016

Effective Date

02/05/2020

Expiration Date

03/01/2022

City

MARYVILLE

State

Zip

62062

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022