CAROLYN C RIDDLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004112

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

Last Name

RIDDLE

Business Name

CAROLYN C RIDDLE

Original Issue Date

08/26/2011

Effective Date

12/12/2012

Expiration Date

03/01/2014

City

LANCASTER

State

Zip

17601

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

04/08/2014