SHANNON J DUDLEY - Physician Assistant License in Kansas | # 085002114

SHANNON J DUDLEY

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002114

License Status

NOT RENEWED

Business

N

First Name

SHANNON

Middle

J

Last Name

DUDLEY

Business Name

SHANNON J DUDLEY

Original Issue Date

10/10/2003

Effective Date

03/06/2012

Expiration Date

03/01/2014

State

KS

Ever Disciplined

N

LastModifiedDate

04/08/2014