BRIAN S WATSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007411

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

WATSON

Business Name

BRIAN S WATSON

Original Issue Date

10/23/2019

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

WOODBURY

State

Zip

08096

Ever Disciplined

LastModifiedDate

07/27/2022