COURTNEY FREESE ANDRUS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****66

License Status

NOT RENEWED

Business

First Name

COURTNEY

Last Name

FREESE ANDRUS

Business Name

COURTNEY FREESE ANDRUS

Original Issue Date

06/01/2015

Effective Date

06/01/2015

Expiration Date

03/01/2016

City

COLUMBIA

State

Zip

62236

County

MONROE

Ever Disciplined

LastModifiedDate

04/12/2016