SHEA NICOLE PARKER - Physician Assistant License in Texas | # 085004699

SHEA NICOLE PARKER

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004699

License Status

INACTIVE

Business

N

First Name

SHEA

Middle

NICOLE

Last Name

PARKER

Business Name

SHEA NICOLE PARKER

Original Issue Date

07/02/2013

Effective Date

01/02/2020

Expiration Date

03/01/2022

State

TX

Ever Disciplined

N

LastModifiedDate

03/01/2022