MICAH ELISE WILLIAMS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007051

License Status

NOT RENEWED

Business

First Name

MICAH

Middle

ELISE

Last Name

WILLIAMS

Business Name

MICAH ELISE WILLIAMS

Original Issue Date

04/22/2019

Effective Date

04/22/2019

Expiration Date

03/01/2020

City

SOUTHLAKE

State

Zip

76092

Ever Disciplined

LastModifiedDate

11/24/2020