LYNDSEY NICOLE BALLOU Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005312

License Status

NOT RENEWED

Business

First Name

LYNDSEY

Middle

NICOLE

Last Name

BALLOU

Business Name

LYNDSEY NICOLE BALLOU

Original Issue Date

10/10/2014

Effective Date

10/10/2014

Expiration Date

03/01/2016

City

SAINT LOUIS

State

Zip

63137

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016