HOLLY RENEE WALKER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

ACTIVE

Business

First Name

HOLLY RENEE

Last Name

WALKER

Business Name

HOLLY RENEE WALKER

Original Issue Date

02/13/2002

Effective Date

12/09/2025

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61637

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/09/2025