CHRISTINE ANNE MITCHELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

ANNE

Last Name

MITCHELL

Business Name

CHRISTINE ANNE MITCHELL

Original Issue Date

11/18/2019

Effective Date

02/06/2020

Expiration Date

03/01/2022

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022