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License Look Up

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The search results for the license holder are listed to the right.

Current Date & Time 12/13/2025 4:43 PM

Status Inactive

Sub-Status

Compact/Multi-State Eligible

Sub-Category

Board Medical Board

License Type Physician Assistant (PA)

License Number 50.001054

License Issue Date 12/30/97

License Effective Date 1/24/00

License Expiration Date 1/31/02

City CINCINNATI

State OH

Country United States

Board Action No

Specialties:

Current date & time: 12/13/2025 4:43 PM

Disclaimer: The Joint Commission and NCQA consider on-line status information as fulfilling the primary source verification requirement for verification of licensure in compliance with their respective credentialing standards.