THERESA FRANCINE PROVINCE - Physician Assistant License in Mississippi | # 085001354

THERESA FRANCINE PROVINCE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001354

License Status

NOT RENEWED

Business

N

First Name

THERESA

Middle

FRANCINE

Last Name

PROVINCE

Business Name

THERESA FRANCINE PROVINCE

Original Issue Date

02/10/2000

Effective Date

02/10/2000

Expiration Date

03/01/2002

State

MS

Ever Disciplined

N

LastModifiedDate

10/09/2006