KEVIN L RAINEY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

ACTIVE

Business

First Name

KEVIN

Middle

Last Name

RAINEY

Business Name

KEVIN L RAINEY

Original Issue Date

03/05/2004

Effective Date

12/05/2025

Expiration Date

03/01/2028

City

MARION

State

Zip

62959

County

WILLIAMSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/05/2025