MARISSA LYNN BUTCHER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****68

License Status

ACTIVE

Business

First Name

MARISSA

Middle

LYNN

Last Name

BUTCHER

Business Name

MARISSA LYNN BUTCHER

Original Issue Date

10/06/2014

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/03/2026