KATHLEEN NOLAN DAVIS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008389

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

NOLAN

Last Name

DAVIS

Business Name

KATHLEEN NOLAN DAVIS

Original Issue Date

06/21/2021

Effective Date

06/21/2021

Expiration Date

03/01/2022

City

SAINT LOUIS

State

Zip

63139

Ever Disciplined

LastModifiedDate

07/27/2022