NANCY C BRADDOCK - Physician Assistant License in Missouri | # 085002020

NANCY C BRADDOCK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002020

License Status

NOT RENEWED

Business

N

First Name

NANCY

Middle

C

Last Name

BRADDOCK

Business Name

NANCY C BRADDOCK

Original Issue Date

07/02/2003

Effective Date

02/23/2018

Expiration Date

03/01/2020

State

MO

Ever Disciplined

N

LastModifiedDate

11/24/2020