MICHELE ANN TRIDLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002007

License Status

NOT RENEWED

Business

First Name

MICHELE

Middle

ANN

Last Name

TRIDLE

Business Name

MICHELE ANN TRIDLE

Original Issue Date

04/30/2003

Effective Date

04/30/2003

Expiration Date

03/01/2008

City

GOODYEAR

State

Zip

85338

Ever Disciplined

LastModifiedDate

04/23/2008