AUSTIN MICHAEL SOUTHMAYD - Physician Assistant License in Missouri | # 085009300

AUSTIN MICHAEL SOUTHMAYD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009300

License Status

NOT RENEWED

Business

N

First Name

AUSTIN

Middle

MICHAEL

Last Name

SOUTHMAYD

Business Name

AUSTIN MICHAEL SOUTHMAYD

Original Issue Date

10/22/2022

Effective Date

10/22/2022

Expiration Date

03/01/2024

State

MO

Ever Disciplined

N

LastModifiedDate

02/05/2025