MICHAEL KEVIN CAVANAGH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000904

License Status

NOT RENEWED

Business

First Name

MICHAEL KEVIN

Last Name

CAVANAGH

Business Name

MICHAEL KEVIN CAVANAGH

Original Issue Date

03/14/1997

Effective Date

03/14/1997

Expiration Date

03/01/1998

City

LACEY

State

Zip

98516

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/26/2006