STEVEN WARREN DEMENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002394

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

WARREN

Last Name

DEMENT

Business Name

STEVEN WARREN DEMENT

Original Issue Date

10/20/2004

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

04/25/2016