DARICE LYNETTE BARR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

DARICE

Middle

LYNETTE

Last Name

BARR

Business Name

DARICE LYNETTE BARR

Original Issue Date

05/19/2014

Effective Date

03/15/2016

Expiration Date

03/01/2018

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

05/10/2018