LATONDRA D STILLWELL-BARKER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****22

License Status

INACTIVE

Business

First Name

LATONDRA

Middle

Last Name

STILLWELL-BARKER

Business Name

LATONDRA D STILLWELL-BARKER

Original Issue Date

09/07/2016

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

FAYETTEVILLE

State

Zip

28306

County

CUMBERLAND

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/18/2019