ERIN LESLEY KELLEY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002899

License Status

INACTIVE

Business

First Name

ERIN

Middle

LESLEY

Last Name

KELLEY

Business Name

ERIN LESLEY KELLEY

Original Issue Date

11/28/2006

Effective Date

11/28/2006

Expiration Date

03/01/2008

City

COLUMBIA

State

Zip

29210

Ever Disciplined

LastModifiedDate

12/14/2007