HALEY HERNDON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008252

License Status

NOT RENEWED

Business

First Name

HALEY

Last Name

HERNDON

Business Name

HALEY HERNDON

Original Issue Date

03/29/2021

Effective Date

03/29/2021

Expiration Date

03/01/2022

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

07/27/2022