OLIVIA FAETH LANGLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007851

License Status

NOT RENEWED

Business

First Name

OLIVIA

Middle

FAETH

Last Name

LANGLEY

Business Name

OLIVIA FAETH LANGLEY

Original Issue Date

07/22/2020

Effective Date

07/22/2020

Expiration Date

03/01/2022

City

BALLWIN

State

Zip

63011

Ever Disciplined

LastModifiedDate

07/27/2022