MERRY R SUMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

MERRY

Middle

Last Name

SUMER

Business Name

MERRY R SUMER

Original Issue Date

04/16/2001

Effective Date

04/16/2001

Expiration Date

03/01/2002

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

03/24/2016