CAITLYN PATRICE OLIVER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008753

License Status

NOT RENEWED

Business

First Name

CAITLYN

Middle

PATRICE

Last Name

OLIVER

Business Name

CAITLYN PATRICE OLIVER

Original Issue Date

11/17/2021

Effective Date

11/17/2021

Expiration Date

03/01/2022

City

COMMERCE TOWNSHIP

State

Zip

48382

Ever Disciplined

LastModifiedDate

07/27/2022