BRIA LEIGH BENNIE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004275

License Status

NOT RENEWED

Business

First Name

BRIA

Middle

LEIGH

Last Name

BENNIE

Business Name

BRIA LEIGH BENNIE

Original Issue Date

01/30/2012

Effective Date

01/30/2012

Expiration Date

03/01/2014

City

WINTER SPRINGS

State

Zip

32708

County

FLORIDA

Ever Disciplined

LastModifiedDate

04/08/2014