MATTHEW DALE HUGHES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****94

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

DALE

Last Name

HUGHES

Business Name

MATTHEW DALE HUGHES

Original Issue Date

06/29/2015

Effective Date

01/28/2020

Expiration Date

03/01/2022

City

METROPOLIS

State

Zip

62960

County

MASSAC

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022