CYNTHIA J ROWLEY-SULLIVAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

ROWLEY-SULLIVAN

Business Name

CYNTHIA J ROWLEY-SULLIVAN

Original Issue Date

04/30/2004

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

COAL VALLEY

State

Zip

61240

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/10/2018