PHILLIP E STILES 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

PHILLIP

Middle

Last Name

STILES

Business Name

PHILLIP E STILES

Original Issue Date

11/01/2006

Effective Date

01/09/2012

Expiration Date

03/01/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

11/17/2015