KEVIN THOMAS WYNE - Physician Assistant License in Vermont | # 085002558

KEVIN THOMAS WYNE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002558

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

THOMAS

Last Name

WYNE

Business Name

KEVIN THOMAS WYNE

Original Issue Date

09/06/2005

Effective Date

09/06/2005

Expiration Date

03/01/2008

State

VT

Ever Disciplined

N

LastModifiedDate

04/23/2008