PAIGE CROUCH HAMILTON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

INOPERATIVE

Business

First Name

PAIGE

Middle

CROUCH

Last Name

HAMILTON

Business Name

PAIGE CROUCH HAMILTON

Original Issue Date

09/26/2017

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

ALTON

State

Zip

62002

Ever Disciplined

LastModifiedDate

01/03/2022