BEN BURROUGHS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007355

License Status

NOT RENEWED

Business

First Name

BEN

Last Name

BURROUGHS

Business Name

BEN BURROUGHS

Original Issue Date

10/08/2019

Effective Date

01/07/2020

Expiration Date

03/01/2022

City

ROYAL OAK

State

Zip

48073

Ever Disciplined

LastModifiedDate

07/27/2022