KOURTNEY ELIZABETH HART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002658

License Status

NOT RENEWED

Business

First Name

KOURTNEY

Middle

ELIZABETH

Last Name

HART

Business Name

KOURTNEY ELIZABETH HART

Original Issue Date

11/10/2005

Effective Date

11/10/2005

Expiration Date

03/01/2006

City

VISALIA

State

Zip

93277

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006