BETH TARA WINKLEY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005059

License Status

INACTIVE

Business

First Name

BETH

Middle

TARA

Last Name

WINKLEY

Business Name

BETH TARA WINKLEY

Original Issue Date

05/19/2014

Effective Date

05/19/2014

Expiration Date

03/01/2016

City

INDIAN LAND

State

Zip

29707

Ever Disciplined

LastModifiedDate

01/21/2016