MARY PEEPLES DALE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

INOPERATIVE

Business

First Name

MARY

Middle

PEEPLES

Last Name

DALE

Business Name

MARY PEEPLES DALE

Original Issue Date

01/02/2025

Effective Date

01/02/2025

Expiration Date

03/01/2026

City

PAPILLION

State

Zip

68133

Ever Disciplined

LastModifiedDate

12/03/2025