PHILLIP ORREN BURR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005431

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

ORREN

Last Name

BURR

Business Name

PHILLIP ORREN BURR

Original Issue Date

02/26/2015

Effective Date

02/26/2015

Expiration Date

03/01/2016

City

MADISON

State

Zip

30650

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/25/2016