MICHAEL PATRICK HIGGINS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****51

License Status

INOPERATIVE

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

HIGGINS

Business Name

MICHAEL PATRICK HIGGINS

Original Issue Date

04/16/2013

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/13/2014