STACY L SORLIE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001832

License Status

INACTIVE

Business

First Name

STACY

Middle

Last Name

SORLIE

Business Name

STACY L SORLIE

Original Issue Date

08/01/2002

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

ATLANTA

State

Zip

30306

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/17/2022