SETH MARTIN GRISHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007950

License Status

NOT RENEWED

Business

First Name

SETH

Middle

MARTIN

Last Name

GRISHAM

Business Name

SETH MARTIN GRISHAM

Original Issue Date

09/14/2020

Effective Date

09/14/2020

Expiration Date

03/01/2022

City

OAK HARBOR

State

Zip

98277

County

WASHINGTON

Ever Disciplined

LastModifiedDate

07/27/2022