JULIE ANN QUAM 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

JULIE

Middle

ANN

Last Name

QUAM

Business Name

JULIE ANN QUAM

Original Issue Date

11/30/2011

Effective Date

03/02/2026

Expiration Date

03/01/2028

City

PEORIA

State

Zip

61614

County

PEORIA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026