KATHRYN REBECCA HANNON KING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009276

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

REBECCA HANNON

Last Name

KING

Business Name

KATHRYN REBECCA HANNON KING

Original Issue Date

10/08/2022

Effective Date

10/08/2022

Expiration Date

03/01/2024

City

SULLIVAN

State

Zip

47882

Ever Disciplined

LastModifiedDate

02/05/2025