TODD AARON STACK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004636

License Status

NOT RENEWED

Business

First Name

TODD

Middle

AARON

Last Name

STACK

Business Name

TODD AARON STACK

Original Issue Date

03/20/2013

Effective Date

04/06/2020

Expiration Date

09/30/2020

City

RENO

State

Zip

89523

County

NEVADA

Ever Disciplined

LastModifiedDate

01/14/2021