CASEY MICHELLE DEMENT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004975

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

MICHELLE

Last Name

DEMENT

Business Name

CASEY MICHELLE DEMENT

Original Issue Date

01/22/2014

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

DONIPHAN

State

Zip

63935

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/08/2016