MELISSA LEIGH RICKS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004928

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

LEIGH

Last Name

RICKS

Business Name

MELISSA LEIGH RICKS

Original Issue Date

10/25/2013

Effective Date

01/23/2020

Expiration Date

03/01/2022

City

PARK CITY

State

Zip

84060

Ever Disciplined

LastModifiedDate

07/27/2022