STACY L TWIGG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****99

License Status

NOT RENEWED

Business

First Name

STACY

Middle

Last Name

TWIGG

Business Name

STACY L TWIGG

Original Issue Date

08/27/2002

Effective Date

01/11/2012

Expiration Date

03/01/2014

State

Ever Disciplined

LastModifiedDate

10/22/2015