WAYNE A MATHEWS 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

WAYNE A

Last Name

MATHEWS

Business Name

WAYNE A MATHEWS

Original Issue Date

03/02/2001

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2018