KELLY DAWN BLISS
Physician Assistant Controlled Substance(Delegated Schedules )
Illinois 385002318 Inoperative
This Illinois license was held by KELLY DAWN BLISS. The license is no longer active. It was granted on 07/31/2009 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 385002318
- Category: PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE(Delegated Schedules )
- Status: Inoperative
- Date Granted: 07/31/2009 (almost 16 years ago)
- Expiry Date: 03/01/2016 (about 9 years ago)
LOCATIONS
A Address
Belleville, IL 62226-5360