JULIE KAY WHITAKER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

INOPERATIVE

Business

First Name

JULIE

Middle

KAY

Last Name

WHITAKER

Business Name

JULIE KAY WHITAKER

Original Issue Date

06/18/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

07/01/2014