PAULETTE J ONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****78

License Status

NOT RENEWED

Business

First Name

PAULETTE

Middle

Last Name

ONG

Business Name

PAULETTE J ONG

Original Issue Date

02/19/2002

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

SILVIS

State

Zip

61282

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/05/2016