KAYLI M P CLATTERBUCK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004539

License Status

NOT RENEWED

Business

First Name

KAYLI

Middle

M P

Last Name

CLATTERBUCK

Business Name

KAYLI M P CLATTERBUCK

Original Issue Date

10/29/2012

Effective Date

02/20/2014

Expiration Date

03/01/2016

City

MYRTLE BEACH

State

Zip

29572

Ever Disciplined

LastModifiedDate

04/25/2016