BRYAN DALE CARTER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007867

License Status

INACTIVE

Business

First Name

BRYAN

Middle

DALE

Last Name

CARTER

Business Name

BRYAN DALE CARTER

Original Issue Date

08/05/2020

Effective Date

08/05/2020

Expiration Date

03/01/2022

City

CHURCH HILL

State

Zip

37642

Ever Disciplined

LastModifiedDate

03/02/2022