RUSSELL T HADLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000472

License Status

NOT RENEWED

Business

First Name

RUSSELL T

Last Name

HADLEY

Business Name

RUSSELL T HADLEY

Original Issue Date

10/30/1991

Effective Date

10/30/1991

Expiration Date

03/01/1994

City

LEESBURG

State

Zip

31763

County

LEE

Ever Disciplined

LastModifiedDate

09/26/2006