RUSSELL JOHN KINSEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004652

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

JOHN

Last Name

KINSEY

Business Name

RUSSELL JOHN KINSEY

Original Issue Date

04/29/2013

Effective Date

02/18/2022

Expiration Date

03/01/2024

City

COBDEN

State

Zip

62920

County

UNION

Ever Disciplined

LastModifiedDate

02/05/2025