KAREN MARIE HUDDLESTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

MARIE

Last Name

HUDDLESTON

Business Name

KAREN MARIE HUDDLESTON

Original Issue Date

08/22/2002

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

SANDWICH

State

Zip

60548

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/24/2020