NICOLE RENEE JOY 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

NICOLE

Middle

RENEE

Last Name

JOY

Business Name

NICOLE RENEE JOY

Original Issue Date

05/02/2018

Effective Date

05/02/2018

Expiration Date

03/01/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020