ALICIA MARIE PATE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002324

License Status

INACTIVE

Business

First Name

ALICIA

Middle

MARIE

Last Name

PATE

Business Name

ALICIA MARIE PATE

Original Issue Date

09/09/2004

Effective Date

04/02/2012

Expiration Date

03/01/2014

City

LAFAYETTE

State

Zip

47909

County

INDIANA

Ever Disciplined

LastModifiedDate

03/28/2014