MARK DAVID SAXON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001996

License Status

NOT RENEWED

Business

First Name

MARK

Middle

DAVID

Last Name

SAXON

Business Name

MARK DAVID SAXON

Original Issue Date

03/13/2003

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

BALLWIN

State

Zip

63021

Ever Disciplined

LastModifiedDate

11/24/2020