TORI LYN BARNES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****77

License Status

NOT RENEWED

Business

First Name

TORI

Middle

LYN

Last Name

BARNES

Business Name

TORI LYN BARNES

Original Issue Date

09/12/2011

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

05/10/2018