GENEVIEVE ELISE WYRICK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007780

License Status

NOT RENEWED

Business

First Name

GENEVIEVE

Middle

ELISE

Last Name

WYRICK

Business Name

GENEVIEVE ELISE WYRICK

Original Issue Date

06/23/2020

Effective Date

06/23/2020

Expiration Date

03/01/2022

City

WASHINGTON

State

Zip

20005

Ever Disciplined

LastModifiedDate

07/27/2022