CANDACE PARKER FLEMING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****21

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

PARKER

Last Name

FLEMING

Business Name

CANDACE PARKER FLEMING

Original Issue Date

09/10/2014

Effective Date

02/18/2016

Expiration Date

03/01/2018

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

05/02/2018