STEVEN ANDREW TIDWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006730

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

ANDREW

Last Name

TIDWELL

Business Name

STEVEN ANDREW TIDWELL

Original Issue Date

08/27/2018

Effective Date

08/27/2018

Expiration Date

03/01/2020

City

ASHLAND CITY

State

Zip

37015

Ever Disciplined

LastModifiedDate

11/24/2020