CARLEY AUSTGEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007238

License Status

NOT RENEWED

Business

First Name

CARLEY

Last Name

AUSTGEN

Business Name

CARLEY AUSTGEN

Original Issue Date

08/27/2019

Effective Date

08/27/2019

Expiration Date

03/01/2020

City

LOWELL

State

Zip

46356

Ever Disciplined

LastModifiedDate

11/24/2020