BRYN M SOUTHARDS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007971

License Status

ACTIVE

Business

First Name

BRYN

Middle

Last Name

SOUTHARDS

Business Name

BRYN M SOUTHARDS

Original Issue Date

09/28/2020

Effective Date

06/20/2024

Expiration Date

03/01/2026

City

NASHVILLE

State

Zip

37218

Ever Disciplined

LastModifiedDate

12/03/2025