DEIDRE M BROWN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005009

License Status

NOT RENEWED

Business

First Name

DEIDRE

Middle

Last Name

BROWN

Business Name

DEIDRE M BROWN

Original Issue Date

03/21/2014

Effective Date

03/21/2014

Expiration Date

03/01/2016

City

SAINT LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016