KIMBERLY LYNDE BROWN 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

KIMBERLY

Middle

LYNDE

Last Name

BROWN

Business Name

KIMBERLY LYNDE BROWN

Original Issue Date

02/25/2005

Effective Date

02/25/2005

Expiration Date

03/01/2008

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

09/26/2006