CRYSTAL ROSE FALKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ROSE

Last Name

FALKE

Business Name

CRYSTAL ROSE FALKE

Original Issue Date

11/07/2011

Effective Date

01/18/2022

Expiration Date

03/01/2024

City

MASON CITY

State

Zip

62664

County

MASON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025