JUSTIN L NORTHCUTT Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007547

License Status

ACTIVE

Business

First Name

JUSTIN

Middle

Last Name

NORTHCUTT

Business Name

JUSTIN L NORTHCUTT

Original Issue Date

02/11/2020

Effective Date

02/27/2024

Expiration Date

03/01/2026

City

ST LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

12/03/2025