TERRI LYNN NOWELL 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

TERRI

Middle

LYNN

Last Name

NOWELL

Business Name

TERRI LYNN NOWELL

Original Issue Date

02/03/2004

Effective Date

04/02/2013

Expiration Date

03/01/2014

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

03/08/2016