RANDY LEE HUNTINGTON, JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007379

License Status

NOT RENEWED

Business

First Name

RANDY

Middle

LEE

Last Name

HUNTINGTON, JR

Business Name

RANDY LEE HUNTINGTON, JR

Original Issue Date

10/18/2019

Effective Date

10/18/2019

Expiration Date

03/01/2020

City

WOODBUR

State

Zip

08096

Ever Disciplined

LastModifiedDate

11/24/2020