BRENT L CARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002140

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

CARD

Business Name

BRENT L CARD

Original Issue Date

10/22/2003

Effective Date

02/11/2014

Expiration Date

03/01/2016

City

GRAND RAPIDS

State

Zip

49525

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/25/2016