EVAN CHRISTIAN FLEMING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****74

License Status

NOT RENEWED

Business

First Name

EVAN

Middle

CHRISTIAN

Last Name

FLEMING

Business Name

EVAN CHRISTIAN FLEMING

Original Issue Date

10/20/2010

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2018