ALEXANDRA FINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004849

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Last Name

FINE

Business Name

ALEXANDRA FINE

Original Issue Date

10/02/2013

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

SALT LAKE CITY

State

Zip

84109

County

UTAH

Ever Disciplined

LastModifiedDate

04/25/2016