KAREEM A ANDERSON 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

KAREEM

Middle

Last Name

ANDERSON

Business Name

KAREEM A ANDERSON

Original Issue Date

10/16/2009

Effective Date

02/19/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

County

JACKSON

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025