DOUGLAS HOWARD STARKE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

INOPERATIVE

Business

First Name

DOUGLAS

Middle

HOWARD

Last Name

STARKE

Business Name

DOUGLAS HOWARD STARKE

Original Issue Date

07/10/2017

Effective Date

03/16/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

12/18/2019