KALLI LYNN PARRA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****93

License Status

NOT RENEWED

Business

First Name

KALLI

Middle

LYNN

Last Name

PARRA

Business Name

KALLI LYNN PARRA

Original Issue Date

03/05/2022

Effective Date

03/05/2022

Expiration Date

03/01/2024

City

ROCK ISLAND

State

Zip

61201

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025