HALEY S COWAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****80

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

COWAN

Business Name

HALEY S COWAN

Original Issue Date

02/21/2017

Effective Date

02/21/2017

Expiration Date

03/01/2018

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2018