ASHLEY WANZER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007430

License Status

NOT RENEWED

Business

First Name

ASHLEY

Last Name

WANZER

Business Name

ASHLEY WANZER

Original Issue Date

11/05/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

LAKELAND

State

Zip

33811

Ever Disciplined

LastModifiedDate

07/27/2022