COURTNEY MICHELLE EKLUND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

MICHELLE

Last Name

EKLUND

Business Name

COURTNEY MICHELLE EKLUND

Original Issue Date

09/07/2012

Effective Date

02/07/2014

Expiration Date

03/01/2016

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

03/21/2016