CHRISTINE G HICKEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006256

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

Last Name

HICKEY

Business Name

CHRISTINE G HICKEY

Original Issue Date

07/19/2017

Effective Date

07/19/2017

Expiration Date

03/01/2018

City

EAGLE RIVER

State

Zip

99577

County

ALASKA

Ever Disciplined

LastModifiedDate

05/10/2018