BRICE DANIELLE WEBER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002055

License Status

NOT RENEWED

Business

First Name

BRICE

Middle

DANIELLE

Last Name

WEBER

Business Name

BRICE DANIELLE WEBER

Original Issue Date

08/15/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SHAWNEE

State

Zip

66218

County

KANSAS

Ever Disciplined

LastModifiedDate

04/01/2010