STACY CATHERINE HENRY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009271

License Status

NOT RENEWED

Business

First Name

STACY

Middle

CATHERINE

Last Name

HENRY

Business Name

STACY CATHERINE HENRY

Original Issue Date

10/01/2022

Effective Date

10/01/2022

Expiration Date

03/01/2024

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

02/05/2025