ANDREA NICOLE CAMPBELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005840

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

NICOLE

Last Name

CAMPBELL

Business Name

ANDREA NICOLE CAMPBELL

Original Issue Date

06/10/2016

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

BESSEMER

State

Zip

35022

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/24/2020