AMY INGERSOLL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008437

License Status

NOT RENEWED

Business

First Name

AMY

Last Name

INGERSOLL

Business Name

AMY INGERSOLL

Original Issue Date

07/09/2021

Effective Date

07/09/2021

Expiration Date

03/01/2022

City

PHOENIX

State

Zip

85015

Ever Disciplined

LastModifiedDate

07/27/2022