RACHEL MARIA GREEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

NOT RENEWED

Business

First Name

RACHEL

Middle

MARIA

Last Name

GREEN

Business Name

RACHEL MARIA GREEN

Original Issue Date

10/09/2009

Effective Date

12/21/2011

Expiration Date

03/01/2014

City

OOLTEWAH

State

Zip

37363

Ever Disciplined

LastModifiedDate

09/03/2015