COURTNEY KAE ANDERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004443

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

KAE

Last Name

ANDERSON

Business Name

COURTNEY KAE ANDERSON

Original Issue Date

09/12/2012

Effective Date

02/08/2022

Expiration Date

03/01/2024

City

GRAND RAPIDS

State

Zip

49505

Ever Disciplined

LastModifiedDate

02/05/2025