CASEY CHRISTOPHER VERCRUYSSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****48

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

CHRISTOPHER

Last Name

VERCRUYSSE

Business Name

CASEY CHRISTOPHER VERCRUYSSE

Original Issue Date

11/05/2018

Effective Date

05/06/2022

Expiration Date

03/01/2024

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

02/05/2025