TEAL MARIE PECK - Physician Assistant License in New Mexico | # 085000811

TEAL MARIE PECK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000811

License Status

INACTIVE

Business

N

First Name

TEAL MARIE

Last Name

PECK

Business Name

TEAL MARIE PECK

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

03/01/2000

State

NM

Ever Disciplined

N

LastModifiedDate

09/26/2006