MIKAL A BAILEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004998

License Status

NOT RENEWED

Business

First Name

MIKAL

Middle

Last Name

BAILEY

Business Name

MIKAL A BAILEY

Original Issue Date

03/07/2014

Effective Date

03/07/2014

Expiration Date

03/01/2016

City

BENTON

State

Zip

42025

County

KENTUCKY

Ever Disciplined

LastModifiedDate

04/25/2016