NICHOLAS CLAY VANCE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005816

License Status

NOT RENEWED

Business

First Name

NICHOLAS

Middle

CLAY

Last Name

VANCE

Business Name

NICHOLAS CLAY VANCE

Original Issue Date

04/21/2016

Effective Date

03/01/2022

Expiration Date

03/01/2024

City

MORGANTOWN

State

Zip

26508

Ever Disciplined

LastModifiedDate

02/05/2025