THOMAS DEAN VESTAL - Physician Assistant License in Indiana | # 085000125

THOMAS DEAN VESTAL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000125

License Status

NOT RENEWED

Business

N

First Name

THOMAS DEAN

Last Name

VESTAL

Business Name

THOMAS DEAN VESTAL

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

State

IN

Ever Disciplined

N

LastModifiedDate

09/26/2006