ANDREW ROBERT ALLEN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006449

License Status

ACTIVE

Business

First Name

ANDREW

Middle

ROBERT

Last Name

ALLEN

Business Name

ANDREW ROBERT ALLEN

Original Issue Date

11/14/2017

Effective Date

12/29/2023

Expiration Date

03/01/2026

City

ALBUQUERQUE

State

Zip

87106

Ever Disciplined

LastModifiedDate

12/03/2025