ALISA VICKREY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011211

License Status

ACTIVE

Business

First Name

ALISA

Last Name

VICKREY

Business Name

ALISA VICKREY

Original Issue Date

03/18/2025

Effective Date

03/18/2025

Expiration Date

03/01/2026

City

REDDING

State

Zip

96003

Ever Disciplined

LastModifiedDate

12/03/2025