ERICK DUANE ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003385

License Status

NOT RENEWED

Business

First Name

ERICK

Middle

DUANE

Last Name

ANDERSON

Business Name

ERICK DUANE ANDERSON

Original Issue Date

11/10/2008

Effective Date

02/11/2016

Expiration Date

03/01/2018

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/10/2018