ALEXA ROSE WHITEHEAD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005608

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

ROSE

Last Name

WHITEHEAD

Business Name

ALEXA ROSE WHITEHEAD

Original Issue Date

08/28/2015

Effective Date

02/03/2016

Expiration Date

03/01/2018

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/10/2018