HALEY HERNDON Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

INOPERATIVE

Business

First Name

HALEY

Last Name

HERNDON

Business Name

HALEY HERNDON

Original Issue Date

05/27/2021

Effective Date

05/27/2021

Expiration Date

03/01/2022

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

01/03/2022