MARTIN N KATAMBWA - Physician Assistant License in Missouri | # 085004591

MARTIN N KATAMBWA

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004591

License Status

NOT RENEWED

Business

N

First Name

MARTIN

Middle

N

Last Name

KATAMBWA

Business Name

MARTIN N KATAMBWA

Original Issue Date

12/21/2012

Effective Date

03/02/2016

Expiration Date

03/01/2018

State

MO

Ever Disciplined

N

LastModifiedDate

05/10/2018