MADELINE ANNE HIMPELMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****56

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

ANNE

Last Name

HIMPELMANN

Business Name

MADELINE ANNE HIMPELMANN

Original Issue Date

09/24/2021

Effective Date

02/01/2022

Expiration Date

03/01/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025