QIUJUAN WANG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****88

License Status

NOT RENEWED

Business

First Name

QIUJUAN

Last Name

WANG

Business Name

QIUJUAN WANG

Original Issue Date

04/01/2017

Effective Date

03/10/2020

Expiration Date

03/01/2022

City

CINCINNATI

State

Zip

45242

County

WINNEBAGO

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/27/2022