STEPHANIE MAURER 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

STEPHANIE

Last Name

MAURER

Business Name

STEPHANIE MAURER

Original Issue Date

03/21/2019

Effective Date

01/06/2020

Expiration Date

03/01/2022

City

DECATUR

State

Zip

62522

County

MACON

Ever Disciplined

LastModifiedDate

01/03/2022