SHELBY LYNN BEYER 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

SHELBY

Middle

LYNN

Last Name

BEYER

Business Name

SHELBY LYNN BEYER

Original Issue Date

01/16/2020

Effective Date

01/16/2020

Expiration Date

03/01/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022