CASEY MICHELLE DEMENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****20

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

MICHELLE

Last Name

DEMENT

Business Name

CASEY MICHELLE DEMENT

Original Issue Date

01/22/2014

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

08/08/2016