CASEY CHRISTOPHER VERCRUYSSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006535

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

CHRISTOPHER

Last Name

VERCRUYSSE

Business Name

CASEY CHRISTOPHER VERCRUYSSE

Original Issue Date

03/02/2018

Effective Date

05/06/2022

Expiration Date

03/01/2024

City

CARBONDALE

State

Zip

62901

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/05/2025