MELANIE KATHERINE CROW 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

MELANIE

Middle

KATHERINE

Last Name

CROW

Business Name

MELANIE KATHERINE CROW

Original Issue Date

08/18/2023

Effective Date

01/29/2024

Expiration Date

03/01/2026

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025