COOPER LEON RENDON - Physician Assistant License in Minnesota | # 085004146

COOPER LEON RENDON

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004146

License Status

INACTIVE

Business

N

First Name

COOPER

Middle

LEON

Last Name

RENDON

Business Name

COOPER LEON RENDON

Original Issue Date

09/21/2011

Effective Date

01/28/2014

Expiration Date

03/01/2016

State

MN

Ever Disciplined

N

LastModifiedDate

03/24/2016