KELSEY RAE THOMPSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007657

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

RAE

Last Name

THOMPSON

Business Name

KELSEY RAE THOMPSON

Original Issue Date

05/14/2020

Effective Date

05/14/2020

Expiration Date

03/01/2022

City

SALT LAKE CITY

State

Zip

84124

Ever Disciplined

LastModifiedDate

07/27/2022