ETHAN JAMES WELLS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085011077

License Status

ACTIVE

Business

First Name

ETHAN

Middle

JAMES

Last Name

WELLS

Business Name

ETHAN JAMES WELLS

Original Issue Date

01/21/2025

Effective Date

01/21/2025

Expiration Date

03/01/2026

City

WEST ALEXANDRIA

State

Zip

45381

Ever Disciplined

LastModifiedDate

12/03/2025