SAMANTHA ELAN HOLLIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002891

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ELAN

Last Name

HOLLIS

Business Name

SAMANTHA ELAN HOLLIS

Original Issue Date

11/16/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

WILMINGTON

State

Zip

19802

County

DELAWARE

Ever Disciplined

LastModifiedDate

04/01/2010