EMILY B NULL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****87

License Status

ACTIVE

Business

First Name

EMILY

Middle

Last Name

NULL

Business Name

EMILY B NULL

Original Issue Date

11/27/2023

Effective Date

01/17/2026

Expiration Date

03/01/2028

City

VIENNA

State

Zip

62995

County

JOHNSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/17/2026