ABBY SUDDARTH Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002762

License Status

INACTIVE

Business

First Name

ABBY

Last Name

SUDDARTH

Business Name

ABBY SUDDARTH

Original Issue Date

08/04/2006

Effective Date

08/04/2006

Expiration Date

03/01/2008

City

MANHATTAN

State

Zip

66503

Ever Disciplined

LastModifiedDate

12/14/2007