ALLYSON LEIGH ROSER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

ALLYSON

Middle

LEIGH

Last Name

ROSER

Business Name

ALLYSON LEIGH ROSER

Original Issue Date

08/01/2019

Effective Date

02/07/2022

Expiration Date

03/01/2024

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2025