SAMANTHA HENDRIX Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****92

License Status

INOPERATIVE

Business

First Name

SAMANTHA

Last Name

HENDRIX

Business Name

SAMANTHA HENDRIX

Original Issue Date

04/27/2020

Effective Date

02/14/2022

Expiration Date

03/01/2024

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

12/06/2023