BRANDI VAN BOOVEN - Physician Assistant License in Missouri | # 085007524

BRANDI VAN BOOVEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007524

License Status

NOT RENEWED

Business

N

First Name

BRANDI

Last Name

VAN BOOVEN

Business Name

BRANDI VAN BOOVEN

Original Issue Date

01/24/2020

Effective Date

01/24/2020

Expiration Date

03/01/2022

State

MO

Ever Disciplined

N

LastModifiedDate

07/27/2022