KRYSTAL ALCOTT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008374

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Last Name

ALCOTT

Business Name

KRYSTAL ALCOTT

Original Issue Date

06/15/2021

Effective Date

06/15/2021

Expiration Date

03/01/2022

City

GREENBELT

State

Zip

20770

Ever Disciplined

LastModifiedDate

07/27/2022