WAYNE A MATHEWS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000394

License Status

NOT RENEWED

Business

First Name

WAYNE A

Last Name

MATHEWS

Business Name

WAYNE A MATHEWS

Original Issue Date

01/19/1990

Effective Date

02/19/2016

Expiration Date

03/01/2018

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/10/2018