DARICE LYNETTE BARR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004898

License Status

NOT RENEWED

Business

First Name

DARICE

Middle

LYNETTE

Last Name

BARR

Business Name

DARICE LYNETTE BARR

Original Issue Date

10/16/2013

Effective Date

03/09/2020

Expiration Date

03/01/2022

City

SOUTH BEND

State

Zip

46617

Ever Disciplined

LastModifiedDate

07/27/2022