MARTY L CAUDLE Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****71

License Status

ACTIVE

Business

First Name

MARTY

Middle

Last Name

CAUDLE

Business Name

MARTY L CAUDLE

Original Issue Date

01/24/2024

Effective Date

02/09/2026

Expiration Date

03/01/2028

City

GREENVILLE

State

Zip

62246

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/09/2026