KRISTY LYNNE BLUME - Physician Assistant License in Missouri | # 085002663

KRISTY LYNNE BLUME

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002663

License Status

INACTIVE

Business

N

First Name

KRISTY

Middle

LYNNE

Last Name

BLUME

Business Name

KRISTY LYNNE BLUME

Original Issue Date

11/17/2005

Effective Date

11/17/2005

Expiration Date

03/01/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006