ALEXA MARIE FIDER-WHYTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002415

License Status

NOT RENEWED

Business

First Name

ALEXA

Middle

MARIE

Last Name

FIDER-WHYTE

Business Name

ALEXA MARIE FIDER-WHYTE

Original Issue Date

11/16/2004

Effective Date

06/08/2021

Expiration Date

03/01/2022

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

07/27/2022