KIMBERLY JO BARRETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003058

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

BARRETT

Business Name

KIMBERLY JO BARRETT

Original Issue Date

09/19/2007

Effective Date

02/18/2020

Expiration Date

03/01/2022

City

GRAND RAPIDS

State

Zip

49504

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022