CHRISTOPHER ASHBY DODGE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007050

License Status

INACTIVE

Business

First Name

CHRISTOPHER

Middle

ASHBY

Last Name

DODGE

Business Name

CHRISTOPHER ASHBY DODGE

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

03/01/2020

City

NORWOOD

State

Zip

13668

Ever Disciplined

LastModifiedDate

12/18/2019