KIRK MATTHEW MELTON 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

KIRK

Middle

MATTHEW

Last Name

MELTON

Business Name

KIRK MATTHEW MELTON

Original Issue Date

10/03/2001

Effective Date

02/27/2012

Expiration Date

03/01/2014

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

02/10/2014