R DOUGLAS SPAFFORD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000384

License Status

NOT RENEWED

Business

First Name

Middle

DOUGLAS

Last Name

SPAFFORD

Business Name

R DOUGLAS SPAFFORD

Original Issue Date

06/03/1989

Effective Date

01/27/2020

Expiration Date

03/01/2022

City

FLORISSANT

State

Zip

63033

Ever Disciplined

LastModifiedDate

07/27/2022