JOHN ANDREW LAURENCE Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009054

License Status

INACTIVE

Business

First Name

JOHN

Middle

ANDREW

Last Name

LAURENCE

Business Name

JOHN ANDREW LAURENCE

Original Issue Date

07/16/2022

Effective Date

07/16/2022

Expiration Date

03/01/2024

City

DALLAS

State

Zip

75204

Ever Disciplined

LastModifiedDate

12/06/2023