CANDACE NICOLE GODWIN - Physician Assistant License in Missouri | # 085004661

CANDACE NICOLE GODWIN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004661

License Status

NOT RENEWED

Business

N

First Name

CANDACE

Middle

NICOLE

Last Name

GODWIN

Business Name

CANDACE NICOLE GODWIN

Original Issue Date

05/13/2013

Effective Date

05/13/2013

Expiration Date

03/01/2014

State

MO

Ever Disciplined

N

LastModifiedDate

04/08/2014