MALLORY ELIZABETH OSBORNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007319

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

ELIZABETH

Last Name

OSBORNE

Business Name

MALLORY ELIZABETH OSBORNE

Original Issue Date

09/27/2019

Effective Date

09/27/2019

Expiration Date

03/01/2020

City

ALPHARETTA

State

Zip

30004

Ever Disciplined

LastModifiedDate

11/24/2020