MARCIA ANNE WELLS Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

INOPERATIVE

Business

First Name

MARCIA

Middle

ANNE

Last Name

WELLS

Business Name

MARCIA ANNE WELLS

Original Issue Date

03/23/2001

Effective Date

03/14/2018

Expiration Date

03/01/2020

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

12/18/2019