STACY L TWIGG Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001809

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

TWIGG

Business Name

STACY L TWIGG

Original Issue Date

07/17/2002

Effective Date

01/11/2012

Expiration Date

03/01/2014

City

PANAMA CITY BEACH

State

Zip

32408

Ever Disciplined

LastModifiedDate

10/22/2015