CODI DANIELLE CRAIG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008868

License Status

NOT RENEWED

Business

First Name

CODI

Middle

DANIELLE

Last Name

CRAIG

Business Name

CODI DANIELLE CRAIG

Original Issue Date

02/09/2022

Effective Date

02/09/2022

Expiration Date

03/01/2024

City

MARYVILLE

State

Zip

37803

Ever Disciplined

LastModifiedDate

02/05/2025