JOSHUA ANDY BUTTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008276

License Status

NOT RENEWED

Business

First Name

JOSHUA

Middle

ANDY

Last Name

BUTTON

Business Name

JOSHUA ANDY BUTTON

Original Issue Date

04/12/2021

Effective Date

04/12/2021

Expiration Date

03/01/2022

City

FORT WAYNE

State

Zip

46804

Ever Disciplined

LastModifiedDate

07/27/2022