HEATHER J WAYNE - Physician Assistant License in Missouri | # 085002556

HEATHER J WAYNE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002556

License Status

NOT RENEWED

Business

N

First Name

HEATHER

Middle

J

Last Name

WAYNE

Business Name

HEATHER J WAYNE

Original Issue Date

09/02/2005

Effective Date

06/12/2008

Expiration Date

03/01/2010

State

MO

Ever Disciplined

N

LastModifiedDate

12/27/2010