MARCY SUE SPALSBURY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005926

License Status

NOT RENEWED

Business

First Name

MARCY

Middle

SUE

Last Name

SPALSBURY

Business Name

MARCY SUE SPALSBURY

Original Issue Date

07/28/2016

Effective Date

07/28/2016

Expiration Date

03/01/2018

City

GRAND LEDGE

State

Zip

48837

Ever Disciplined

LastModifiedDate

05/10/2018