KELSEY CAMPBELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008172

License Status

NOT RENEWED

Business

First Name

KELSEY

Last Name

CAMPBELL

Business Name

KELSEY CAMPBELL

Original Issue Date

02/01/2021

Effective Date

02/01/2021

Expiration Date

03/01/2022

City

CARMEL

State

Zip

46033

Ever Disciplined

LastModifiedDate

07/27/2022