PATRICIA A BOUDET Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000668

License Status

NOT RENEWED

Business

First Name

PATRICIA

Middle

Last Name

BOUDET

Business Name

PATRICIA A BOUDET

Original Issue Date

01/24/1995

Effective Date

02/28/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

02/05/2025