CRAIG SHANNON STEWART Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

ACTIVE

Business

First Name

CRAIG

Middle

SHANNON

Last Name

STEWART

Business Name

CRAIG SHANNON STEWART

Original Issue Date

03/23/2001

Effective Date

01/12/2024

Expiration Date

03/01/2026

City

WATERLOO

State

Zip

62298

County

MONROE

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

12/03/2025