MALLORY E WHEELER KRISPINSKY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

INOPERATIVE

Business

First Name

MALLORY

Middle

Last Name

WHEELER KRISPINSKY

Business Name

MALLORY E WHEELER KRISPINSKY

Original Issue Date

03/28/2012

Effective Date

03/28/2012

Expiration Date

03/01/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/23/2015