KRISTINA MARIE SMALLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009490

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

MARIE

Last Name

SMALLEY

Business Name

KRISTINA MARIE SMALLEY

Original Issue Date

01/11/2023

Effective Date

01/11/2023

Expiration Date

03/01/2024

City

EGLIN AFB

State

Zip

32542

Ever Disciplined

LastModifiedDate

02/05/2025