License holder summary

ANNE D. SOUTHALL, PA-C is a Medicine - Physician Assistant licensed to practice in Maine. This licensed professional license is not current. The license was granted 01/08/2002 and expired on 09/02/2004.

Maine

Office of Professional and Occupational Regulation

ANNE D. SOUTHALL, PA-C
Medicine - Physician Assistant
License number
PA761
Date granted
01/08/2002
Date expires
09/02/2004
Class
Medicine - Physician Assistant
Status
Failed to Renew
mainelicensing.org
ID 21184517
LAST UPDATED 2026-04-13 08:53:30 UTC

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