DIANA JEAN HARDY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003214

License Status

INACTIVE

Business

First Name

DIANA

Middle

JEAN

Last Name

HARDY

Business Name

DIANA JEAN HARDY

Original Issue Date

04/29/2008

Effective Date

12/31/2020

Expiration Date

03/01/2022

City

RIFLE

State

Zip

81650

Ever Disciplined

LastModifiedDate

03/05/2022