MELISSA LYNN PEDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004416

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LYNN

Last Name

PEDERSON

Business Name

MELISSA LYNN PEDERSON

Original Issue Date

08/20/2012

Effective Date

08/20/2012

Expiration Date

03/01/2014

City

AUGUSTA

State

Zip

30909

Ever Disciplined

LastModifiedDate

09/07/2017