STEVEN WARREN DEMENT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

INOPERATIVE

Business

First Name

STEVEN

Middle

WARREN

Last Name

DEMENT

Business Name

STEVEN WARREN DEMENT

Original Issue Date

02/10/2005

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

09/29/2015