CASSIDY ERICKSON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007919

License Status

INACTIVE

Business

First Name

CASSIDY

Last Name

ERICKSON

Business Name

CASSIDY ERICKSON

Original Issue Date

09/03/2020

Effective Date

09/03/2020

Expiration Date

03/01/2022

City

MARIETTA

State

Zip

45750

Ever Disciplined

LastModifiedDate

02/26/2022