PATRICIA LEE MONTGOMERY Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001309

License Status

ACTIVE

Business

First Name

PATRICIA

Middle

LEE

Last Name

MONTGOMERY

Business Name

PATRICIA LEE MONTGOMERY

Original Issue Date

12/27/1999

Effective Date

02/03/2024

Expiration Date

03/01/2026

City

HAMPTONVILLE

State

Zip

27020

Ever Disciplined

LastModifiedDate

12/03/2025