EMILY BECKER PEVTSOV Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

INOPERATIVE

Business

First Name

EMILY

Middle

BECKER

Last Name

PEVTSOV

Business Name

EMILY BECKER PEVTSOV

Original Issue Date

10/28/2014

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

NAPERVILLE

State

Zip

60563

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/02/2018