HELEN M YANTA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

HELEN

Middle

Last Name

YANTA

Business Name

HELEN M YANTA

Original Issue Date

08/04/2017

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

WESTERN SPRINGS

State

Zip

60558

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020