JEFFREY DUANE HUDSON - Physician Assistant License in Idaho | # 085003864

JEFFREY DUANE HUDSON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003864

License Status

NOT RENEWED

Business

N

First Name

JEFFREY

Middle

DUANE

Last Name

HUDSON

Business Name

JEFFREY DUANE HUDSON

Original Issue Date

09/15/2010

Effective Date

09/15/2010

Expiration Date

03/01/2012

State

ID

Ever Disciplined

N

LastModifiedDate

04/11/2012