DARCY J ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****85

License Status

NOT RENEWED

Business

First Name

DARCY

Middle

Last Name

ANDERSON

Business Name

DARCY J ANDERSON

Original Issue Date

03/24/2004

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022