KATHLEEN A DODD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000585

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

DODD

Business Name

KATHLEEN A DODD

Original Issue Date

02/01/1994

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

CARBONDALE

State

Zip

62902

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/24/2020