STACIE K TAYLOR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000849

License Status

NOT RENEWED

Business

First Name

STACIE K

Last Name

TAYLOR

Business Name

STACIE K TAYLOR

Original Issue Date

01/08/1997

Effective Date

03/01/2016

Expiration Date

03/01/2018

City

CHULA VISTA

State

Zip

91910

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/10/2018