MERRY R SUMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000782

License Status

NOT RENEWED

Business

First Name

MERRY

Middle

Last Name

SUMER

Business Name

MERRY R SUMER

Original Issue Date

02/17/1996

Effective Date

10/29/2020

Expiration Date

03/01/2022

City

TREMONT

State

Zip

61568

County

TAZEWELL

Ever Disciplined

LastModifiedDate

07/27/2022