DANIEL JAMES HAMMES Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

INOPERATIVE

Business

First Name

DANIEL

Middle

JAMES

Last Name

HAMMES

Business Name

DANIEL JAMES HAMMES

Original Issue Date

09/23/2013

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/05/2014