DERRIK COLE ABELL Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

INOPERATIVE

Business

First Name

DERRIK

Middle

COLE

Last Name

ABELL

Business Name

DERRIK COLE ABELL

Original Issue Date

08/03/2021

Effective Date

01/27/2024

Expiration Date

03/01/2026

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

12/03/2025