ZACHARY A KEMP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****65

License Status

NOT RENEWED

Business

First Name

ZACHARY

Middle

Last Name

KEMP

Business Name

ZACHARY A KEMP

Original Issue Date

10/07/2016

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

07/27/2022