VALERIE M WITT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****49

License Status

NOT RENEWED

Business

First Name

VALERIE

Middle

Last Name

WITT

Business Name

VALERIE M WITT

Original Issue Date

11/01/2006

Effective Date

01/20/2022

Expiration Date

03/01/2024

City

ST JOHN

State

Zip

46373

County

WILL

Delegated Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025