CARMEN SUE GRANDT - Physician Assistant License in Kentucky | # 085001475

CARMEN SUE GRANDT

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001475

License Status

INACTIVE

Business

N

First Name

CARMEN SUE

Last Name

GRANDT

Business Name

CARMEN SUE GRANDT

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

03/01/2004

State

KY

Ever Disciplined

N

LastModifiedDate

10/09/2006