COLENA M RATHBURN 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

COLENA

Middle

Last Name

RATHBURN

Business Name

COLENA M RATHBURN

Original Issue Date

02/04/2020

Effective Date

01/10/2022

Expiration Date

03/01/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025