CELENA DAWN MCCANDLESS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

CELENA

Middle

DAWN

Last Name

MCCANDLESS

Business Name

CELENA DAWN MCCANDLESS

Original Issue Date

03/28/2014

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/02/2018