SONYA C ETHRIDGE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001729

License Status

NOT RENEWED

Business

First Name

SONYA C

Last Name

ETHRIDGE

Business Name

SONYA C ETHRIDGE

Original Issue Date

11/30/2001

Effective Date

11/30/2001

Expiration Date

03/01/2006

City

GOLCONDA

State

Zip

62938

County

POPE

Ever Disciplined

LastModifiedDate

10/09/2006