KALI ANNE SHEPHARD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005909

License Status

NOT RENEWED

Business

First Name

KALI

Middle

ANNE

Last Name

SHEPHARD

Business Name

KALI ANNE SHEPHARD

Original Issue Date

07/20/2016

Effective Date

03/08/2018

Expiration Date

03/01/2020

City

CRYSTAL

State

Zip

58222

Ever Disciplined

LastModifiedDate

11/24/2020