SUSAN A HUBER-BARTLETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001067

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

HUBER-BARTLETT

Business Name

SUSAN A HUBER-BARTLETT

Original Issue Date

07/20/1998

Effective Date

03/29/2018

Expiration Date

03/01/2020

City

TENNESSEE

State

Zip

62374

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

11/24/2020