SHELLEY NICOLE MULROONEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004393

License Status

NOT RENEWED

Business

First Name

SHELLEY

Middle

NICOLE

Last Name

MULROONEY

Business Name

SHELLEY NICOLE MULROONEY

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

03/01/2014

City

COLLIERVILLE

State

Zip

38017

County

TENNESSEE

Ever Disciplined

LastModifiedDate

04/08/2014