CAROLYNN BOATFIELD Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

ACTIVE

Business

First Name

CAROLYNN

Last Name

BOATFIELD

Business Name

CAROLYNN BOATFIELD

Original Issue Date

11/19/2024

Effective Date

02/10/2026

Expiration Date

03/01/2028

City

MONMOUTH

State

Zip

61462

County

WARREN

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/17/2026