ELIZABETH JEANETTE DURHAM - Physician Assistant License in California | # 085005280

ELIZABETH JEANETTE DURHAM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005280

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

JEANETTE

Last Name

DURHAM

Business Name

ELIZABETH JEANETTE DURHAM

Original Issue Date

09/30/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

State

CA

Ever Disciplined

N

LastModifiedDate

05/10/2018