AMBER MICHELLE TEIGEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****60

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MICHELLE

Last Name

TEIGEN

Business Name

AMBER MICHELLE TEIGEN

Original Issue Date

02/02/2016

Effective Date

02/15/2016

Expiration Date

03/01/2018

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

05/10/2018