DANIEL TROUTNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

TROUTNER

Business Name

DANIEL TROUTNER

Original Issue Date

03/31/2020

Effective Date

03/31/2020

Expiration Date

03/01/2022

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022