CRYSTAL LEE ROY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

LEE

Last Name

ROY

Business Name

CRYSTAL LEE ROY

Original Issue Date

11/25/2013

Effective Date

12/14/2025

Expiration Date

03/01/2028

City

DECATUR

State

Zip

62521

County

MACON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/14/2025