KRISTA MICHELE BARNES 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

KRISTA

Middle

MICHELE

Last Name

BARNES

Business Name

KRISTA MICHELE BARNES

Original Issue Date

08/21/2014

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

MORRISON

State

Zip

61270

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020