STEVEN ANDREW TIDWELL - Physician Assistant License in Tennessee | # 085006730

STEVEN ANDREW TIDWELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006730

License Status

NOT RENEWED

Business

N

First Name

STEVEN

Middle

ANDREW

Last Name

TIDWELL

Business Name

STEVEN ANDREW TIDWELL

Original Issue Date

08/27/2018

Effective Date

08/27/2018

Expiration Date

03/01/2020

State

TN

Ever Disciplined

N

LastModifiedDate

11/24/2020