JOY SHANTEL BROYLES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003939

License Status

NOT RENEWED

Business

First Name

JOY

Middle

SHANTEL

Last Name

BROYLES

Business Name

JOY SHANTEL BROYLES

Original Issue Date

10/19/2010

Effective Date

03/06/2014

Expiration Date

03/01/2016

City

ATLANTA

State

Zip

30309

County

GEORGIA

Ever Disciplined

LastModifiedDate

07/13/2018