SAMANTHA NICOLE HJERPE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004224

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

NICOLE

Last Name

HJERPE

Business Name

SAMANTHA NICOLE HJERPE

Original Issue Date

10/24/2011

Effective Date

10/24/2011

Expiration Date

03/01/2012

City

NORTH CHARLESTON

State

Zip

29406

Ever Disciplined

LastModifiedDate

04/17/2013