RENICE CHRISTINE BRIDGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004309

License Status

NOT RENEWED

Business

First Name

RENICE

Middle

CHRISTINE

Last Name

BRIDGER

Business Name

RENICE CHRISTINE BRIDGER

Original Issue Date

03/29/2012

Effective Date

03/29/2012

Expiration Date

03/01/2014

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

10/25/2016