BRANDI NICOLE HUME Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004232

License Status

NOT RENEWED

Business

First Name

BRANDI

Middle

NICOLE

Last Name

HUME

Business Name

BRANDI NICOLE HUME

Original Issue Date

10/31/2011

Effective Date

02/05/2016

Expiration Date

03/01/2018

City

LOCKWOOD

State

Zip

65682

Ever Disciplined

LastModifiedDate

05/10/2018