KARILYN S CROOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

KARILYN

Middle

Last Name

CROOK

Business Name

KARILYN S CROOK

Original Issue Date

09/29/2009

Effective Date

05/18/2020

Expiration Date

03/01/2022

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022