TODD THOMAS PARKER - Physician Assistant License in Missouri | # 085001487

TODD THOMAS PARKER

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001487

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

THOMAS

Last Name

PARKER

Business Name

TODD THOMAS PARKER

Original Issue Date

11/15/2000

Effective Date

11/15/2000

Expiration Date

03/01/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006