BRIE B TERRELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003217

License Status

NOT RENEWED

Business

First Name

BRIE

Middle

Last Name

TERRELL

Business Name

BRIE B TERRELL

Original Issue Date

05/14/2008

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

SAINT LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/29/2015