JAMES STEPHEN PHARES Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002326

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

STEPHEN

Last Name

PHARES

Business Name

JAMES STEPHEN PHARES

Original Issue Date

09/09/2004

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

HUDSON

State

Zip

50643

Ever Disciplined

LastModifiedDate

07/26/2018