BETHANY JOY BANDI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006019

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

JOY

Last Name

BANDI

Business Name

BETHANY JOY BANDI

Original Issue Date

09/28/2016

Effective Date

09/28/2016

Expiration Date

03/01/2018

City

CLEVELAND

State

Zip

44106

Ever Disciplined

LastModifiedDate

05/10/2018