KELLY M JOY 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

KELLY

Middle

Last Name

JOY

Business Name

KELLY M JOY

Original Issue Date

10/08/2009

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/11/2012