SCOTT WALTER REANEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003915

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

WALTER

Last Name

REANEY

Business Name

SCOTT WALTER REANEY

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

03/01/2012

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/11/2012