License holder summary

STACEY A SHIVELY is a Health Care - Physician Assistant Interim Permit licensed to practice in Washington. This licensed professional license is not current. The license was granted 02/05/2001 and expired on 02/05/2002.

Washington

Department of Licensing

STACEY A SHIVELY
Health Care - Physician Assistant Interim Permit
License number
TA10004087
Date granted
02/05/2001
Date expires
02/05/2002
Class
Health Care - Physician Assistant Interim Permit
Status
Expired
walicensing.org
ID 39952719
LAST UPDATED 2024-05-03 20:22:10 UTC

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