ELLA MARIE CALLISON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

INOPERATIVE

Business

First Name

ELLA

Middle

MARIE

Last Name

CALLISON

Business Name

ELLA MARIE CALLISON

Original Issue Date

07/28/2010

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

02/27/2012