AMBER L KELLEY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001199

License Status

INACTIVE

Business

First Name

AMBER

Middle

Last Name

KELLEY

Business Name

AMBER L KELLEY

Original Issue Date

01/29/1999

Effective Date

01/12/2012

Expiration Date

03/01/2014

City

NOKOMIS

State

Zip

34275

Ever Disciplined

LastModifiedDate

08/01/2012