SAVANNAH RUTH MURPHY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****57

License Status

NOT RENEWED

Business

First Name

SAVANNAH

Middle

RUTH

Last Name

MURPHY

Business Name

SAVANNAH RUTH MURPHY

Original Issue Date

08/29/2018

Effective Date

08/29/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61604

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020