SALLY JAY BRUMBILL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007853

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

JAY

Last Name

BRUMBILL

Business Name

SALLY JAY BRUMBILL

Original Issue Date

07/22/2020

Effective Date

07/22/2020

Expiration Date

03/01/2022

City

MARIETTA

State

Zip

30066

Ever Disciplined

LastModifiedDate

07/27/2022