LUKE KENTON HENRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008584

License Status

NOT RENEWED

Business

First Name

LUKE

Middle

KENTON

Last Name

HENRY

Business Name

LUKE KENTON HENRY

Original Issue Date

09/02/2021

Effective Date

09/02/2021

Expiration Date

03/01/2022

City

VISTA

State

Zip

92084

Ever Disciplined

LastModifiedDate

07/27/2022