MICHAEL B MERRETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001769

License Status

NOT RENEWED

Business

First Name

MICHAEL B

Last Name

MERRETT

Business Name

MICHAEL B MERRETT

Original Issue Date

02/26/2002

Effective Date

02/23/2012

Expiration Date

03/01/2014

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

04/08/2014