PAIGE FARRELL DE MARIO - Physician Assistant License in California | # 085000364

PAIGE FARRELL DE MARIO

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000364

License Status

INACTIVE

Business

N

First Name

PAIGE FARRELL

Last Name

DE MARIO

Business Name

PAIGE FARRELL DE MARIO

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

03/01/1992

State

CA

Ever Disciplined

N

LastModifiedDate

09/26/2006