KRISTINA RENEE SAMSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005243

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

RENEE

Last Name

SAMSON

Business Name

KRISTINA RENEE SAMSON

Original Issue Date

09/22/2014

Effective Date

02/22/2018

Expiration Date

03/01/2020

City

FOWLER

State

Zip

62338

County

ADAMS

Ever Disciplined

LastModifiedDate

11/24/2020