RON LUTHER HAMM - Physician Assistant License in Idaho | # 085001221

RON LUTHER HAMM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001221

License Status

NOT RENEWED

Business

N

First Name

RON

Middle

LUTHER

Last Name

HAMM

Business Name

RON LUTHER HAMM

Original Issue Date

05/28/1999

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

ID

Ever Disciplined

N

LastModifiedDate

04/01/2010