BRENT AUSTIN SMOYER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005047

License Status

INACTIVE

Business

First Name

BRENT

Middle

AUSTIN

Last Name

SMOYER

Business Name

BRENT AUSTIN SMOYER

Original Issue Date

05/08/2014

Effective Date

05/08/2014

Expiration Date

03/01/2016

City

MEMPHIS

State

Zip

38104

County

SHELBY

Ever Disciplined

LastModifiedDate

03/17/2016