FRED G MINER - Physician Assistant License in Arizona | # 085009265

FRED G MINER

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009265

License Status

ACTIVE

Business

N

First Name

FRED

Middle

G

Last Name

MINER

Business Name

FRED G MINER

Original Issue Date

09/27/2022

Effective Date

02/19/2024

Expiration Date

03/01/2026

State

AZ

Ever Disciplined

N

LastModifiedDate

12/03/2025