MAXWELL JAMES BURKETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005328

License Status

NOT RENEWED

Business

First Name

MAXWELL

Middle

JAMES

Last Name

BURKETT

Business Name

MAXWELL JAMES BURKETT

Original Issue Date

10/20/2014

Effective Date

10/20/2014

Expiration Date

03/01/2016

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/25/2016