BETH MARIE AGAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

ACTIVE

Business

First Name

BETH

Middle

MARIE

Last Name

AGAN

Business Name

BETH MARIE AGAN

Original Issue Date

11/09/2018

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/15/2026