ALEXANDRA T POWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006472

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

Last Name

POWELL

Business Name

ALEXANDRA T POWELL

Original Issue Date

12/22/2017

Effective Date

01/07/2020

Expiration Date

03/01/2022

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

07/27/2022