HAYLIE RAY MCCLUNG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008016

License Status

NOT RENEWED

Business

First Name

HAYLIE

Middle

RAY

Last Name

MCCLUNG

Business Name

HAYLIE RAY MCCLUNG

Original Issue Date

10/14/2020

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

EAST BETHEL

State

Zip

55005

Ever Disciplined

LastModifiedDate

02/05/2025