MALCOLM WALTON SLATON - Physician Assistant License in South Carolina | # 085000212

MALCOLM WALTON SLATON

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000212

License Status

NOT RENEWED

Business

N

First Name

MALCOLM WALTON

Last Name

SLATON

Business Name

MALCOLM WALTON SLATON

Original Issue Date

10/20/1980

Effective Date

10/20/1980

Expiration Date

03/01/2000

State

SC

Ever Disciplined

N

LastModifiedDate

09/26/2006