TOGAN L COTTRELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006354

License Status

NOT RENEWED

Business

First Name

TOGAN

Middle

Last Name

COTTRELL

Business Name

TOGAN L COTTRELL

Original Issue Date

09/19/2017

Effective Date

09/03/2019

Expiration Date

03/01/2020

City

THOMPSONVILLE

State

Zip

62890

County

FRANKLIN

Ever Disciplined

LastModifiedDate

11/24/2020