MELISSA TERESA HENDRICKSON PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001573

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

TERESA

Last Name

HENDRICKSON

Suffix

PA-C

Business Name

MELISSA TERESA HENDRICKSON PA-C

Original Issue Date

04/12/2001

Effective Date

04/12/2001

Expiration Date

03/01/2002

City

DAPHNE

State

Zip

36526

County

ALABAMA

Ever Disciplined

LastModifiedDate

10/09/2006