SAMANTHA HENDRIX Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007214

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Last Name

HENDRIX

Business Name

SAMANTHA HENDRIX

Original Issue Date

08/16/2019

Effective Date

02/14/2022

Expiration Date

03/01/2024

City

SHELBYVILLE

State

Zip

62565

Ever Disciplined

LastModifiedDate

02/05/2025