MICHAEL WAYNE KING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001200

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

KING

Business Name

MICHAEL WAYNE KING

Original Issue Date

02/05/1999

Effective Date

01/24/2020

Expiration Date

03/01/2022

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

07/27/2022