SHEA NICOLE PARKER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004699

License Status

INACTIVE

Business

First Name

SHEA

Middle

NICOLE

Last Name

PARKER

Business Name

SHEA NICOLE PARKER

Original Issue Date

07/02/2013

Effective Date

01/02/2020

Expiration Date

03/01/2022

City

HOUSTON

State

Zip

77006

Ever Disciplined

LastModifiedDate

03/01/2022