KAYLA FAHLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007442

License Status

NOT RENEWED

Business

First Name

KAYLA

Last Name

FAHLE

Business Name

KAYLA FAHLE

Original Issue Date

11/13/2019

Effective Date

11/13/2019

Expiration Date

03/01/2020

City

SAINT LOUIS

State

Zip

63131

Ever Disciplined

LastModifiedDate

11/24/2020