ROBIN WALL - Physician Assistant License in Connecticut | # 085001297

ROBIN WALL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001297

License Status

NOT RENEWED

Business

N

First Name

ROBIN

Last Name

WALL

Business Name

ROBIN WALL

Original Issue Date

12/27/1999

Effective Date

12/27/1999

Expiration Date

03/01/2006

State

CT

Ever Disciplined

N

LastModifiedDate

10/09/2006