KATHLEEN A DODD Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****96

License Status

INOPERATIVE

Business

First Name

KATHLEEN A

Last Name

DODD

Business Name

KATHLEEN A DODD

Original Issue Date

06/02/2004

Effective Date

02/20/2018

Expiration Date

03/01/2020

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/18/2019