ANNA KATE PRUETT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005987

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

KATE

Last Name

PRUETT

Business Name

ANNA KATE PRUETT

Original Issue Date

09/16/2016

Effective Date

03/16/2018

Expiration Date

03/01/2020

City

CAMERON

State

Zip

28326

Ever Disciplined

LastModifiedDate

11/24/2020