CAROLINE MAE IMHOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

NOT RENEWED

Business

First Name

CAROLINE

Middle

MAE

Last Name

IMHOFF

Business Name

CAROLINE MAE IMHOFF

Original Issue Date

07/21/2021

Effective Date

07/21/2021

Expiration Date

03/01/2022

City

ROANOKE

State

Zip

61561

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022