JULIE M PRESTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****84

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

Last Name

PRESTON

Business Name

JULIE M PRESTON

Original Issue Date

03/16/2001

Effective Date

01/06/2022

Expiration Date

03/01/2024

City

NORMAL

State

Zip

61761

County

MCLEAN

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025