KEVIN PATRICK STUCKEY 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

KEVIN

Middle

PATRICK

Last Name

STUCKEY

Business Name

KEVIN PATRICK STUCKEY

Original Issue Date

02/03/2016

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025