CHAD BRYANT SIMMONS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006482

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

BRYANT

Last Name

SIMMONS

Business Name

CHAD BRYANT SIMMONS

Original Issue Date

01/18/2018

Effective Date

01/21/2020

Expiration Date

03/01/2022

City

ELKRIDGE

State

Zip

21075

County

MARYLAND

Ever Disciplined

LastModifiedDate

07/27/2022