DANIELLE L HARVEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

DANIELLE

Middle

Last Name

HARVEY

Business Name

DANIELLE L HARVEY

Original Issue Date

02/19/2002

Effective Date

02/19/2002

Expiration Date

03/01/2004

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

10/09/2006