KARRY BRIM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****28

License Status

NOT RENEWED

Business

First Name

KARRY

Last Name

BRIM

Business Name

KARRY BRIM

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/01/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

08/05/2015