KATHRYN M CLELAND Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007629

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

Last Name

CLELAND

Business Name

KATHRYN M CLELAND

Original Issue Date

04/02/2020

Effective Date

04/02/2020

Expiration Date

03/01/2022

City

PHOENIX

State

Zip

85018

Ever Disciplined

LastModifiedDate

07/27/2022