KYLE THOMPSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008316

License Status

NOT RENEWED

Business

First Name

KYLE

Last Name

THOMPSON

Business Name

KYLE THOMPSON

Original Issue Date

05/25/2021

Effective Date

03/23/2022

Expiration Date

03/01/2024

City

PADUCAH

State

Zip

42001

Ever Disciplined

LastModifiedDate

02/05/2025