THERESA L CROWDER - Physician Assistant License in Indiana | # 085002866

THERESA L CROWDER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002866

License Status

NOT RENEWED

Business

N

First Name

THERESA

Middle

L

Last Name

CROWDER

Business Name

THERESA L CROWDER

Original Issue Date

10/23/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

State

IN

Ever Disciplined

N

LastModifiedDate

04/01/2010