COLLEEN CONTRI LANGER 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

COLLEEN

Middle

CONTRI

Last Name

LANGER

Business Name

COLLEEN CONTRI LANGER

Original Issue Date

06/20/2007

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

07/27/2022