ABIGAIL PRIER BOETHIN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

ACTIVE

Business

First Name

ABIGAIL

Middle

PRIER

Last Name

BOETHIN

Business Name

ABIGAIL PRIER BOETHIN

Original Issue Date

02/24/2023

Effective Date

02/25/2024

Expiration Date

03/01/2026

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025