LAURIE RENEE SEWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007620

License Status

NOT RENEWED

Business

First Name

LAURIE

Middle

RENEE

Last Name

SEWELL

Business Name

LAURIE RENEE SEWELL

Original Issue Date

03/25/2020

Effective Date

03/25/2020

Expiration Date

03/01/2022

City

FENTON

State

Zip

63026

Ever Disciplined

LastModifiedDate

07/27/2022