SEAN CHRISTOPHER PHILLIPS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007360

License Status

NOT RENEWED

Business

First Name

SEAN

Middle

CHRISTOPHER

Last Name

PHILLIPS

Business Name

SEAN CHRISTOPHER PHILLIPS

Original Issue Date

10/17/2019

Effective Date

10/17/2019

Expiration Date

03/01/2020

City

MILAN

State

Zip

38358

Ever Disciplined

LastModifiedDate

11/24/2020