ALEXANDRA FINE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****03

License Status

INOPERATIVE

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

12/10/2014