ANNE ELIZABETH BECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

ELIZABETH

Last Name

BECKER

Business Name

ANNE ELIZABETH BECKER

Original Issue Date

07/06/2010

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/08/2014