WENDY TAYLOR OWEN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002498

License Status

INACTIVE

Business

First Name

WENDY

Middle

TAYLOR

Last Name

OWEN

Business Name

WENDY TAYLOR OWEN

Original Issue Date

07/08/2005

Effective Date

01/28/2010

Expiration Date

03/01/2012

City

FORT BRAGG

State

Zip

28307

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

01/19/2012