ERIN COLLEEN MCPEAK 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

ERIN

Middle

COLLEEN

Last Name

MCPEAK

Business Name

ERIN COLLEEN MCPEAK

Original Issue Date

09/16/2011

Effective Date

09/16/2011

Expiration Date

03/01/2012

City

BEARDSTOWN

State

Zip

62618

County

CASS

Ever Disciplined

LastModifiedDate

04/16/2012