KATHY E BUSSELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004628

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

BUSSELL

Business Name

KATHY E BUSSELL

Original Issue Date

03/01/2013

Effective Date

03/01/2013

Expiration Date

03/01/2014

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014