ALEXA ROSE WHITEHEAD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

INOPERATIVE

Business

First Name

ALEXA

Middle

ROSE

Last Name

WHITEHEAD

Business Name

ALEXA ROSE WHITEHEAD

Original Issue Date

11/05/2015

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/02/2018