NORA MELISSA MARTIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****46

License Status

NOT RENEWED

Business

First Name

NORA

Middle

MELISSA

Last Name

MARTIN

Business Name

NORA MELISSA MARTIN

Original Issue Date

03/12/2014

Effective Date

03/12/2014

Expiration Date

03/01/2016

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/23/2016