KELLI A CHAMBERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003406

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

CHAMBERS

Business Name

KELLI A CHAMBERS

Original Issue Date

01/07/2009

Effective Date

01/07/2009

Expiration Date

03/01/2010

City

VIENNA

State

Zip

22182

County

VIRGINIA

Ever Disciplined

LastModifiedDate

04/01/2010