HEATHER JOELL HALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

JOELL

Last Name

HALL

Business Name

HEATHER JOELL HALL

Original Issue Date

03/27/2014

Effective Date

03/27/2014

Expiration Date

03/01/2016

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/25/2016