PATRICIA E LACY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003725

License Status

NOT RENEWED

Business

First Name

PATRICIA E

Last Name

LACY

Business Name

PATRICIA E LACY

Original Issue Date

04/21/2010

Effective Date

02/17/2022

Expiration Date

03/01/2024

City

WYTHEVILLE

State

Zip

24382

County

MACON

Ever Disciplined

LastModifiedDate

02/05/2025