RUBYE BARDOUILLE - Physician Assistant License in Tennessee | # 085007463

RUBYE BARDOUILLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007463

License Status

NOT RENEWED

Business

N

First Name

RUBYE

Last Name

BARDOUILLE

Business Name

RUBYE BARDOUILLE

Original Issue Date

12/10/2019

Effective Date

12/10/2019

Expiration Date

03/01/2022

State

TN

Ever Disciplined

N

LastModifiedDate

07/27/2022