ALAINA ADAIR TATUM - Physician Assistant License in West Virginia | # 085008473

ALAINA ADAIR TATUM

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008473

License Status

NOT RENEWED

Business

N

First Name

ALAINA

Middle

ADAIR

Last Name

TATUM

Business Name

ALAINA ADAIR TATUM

Original Issue Date

07/19/2021

Effective Date

07/19/2021

Expiration Date

03/01/2022

State

WV

Ever Disciplined

N

LastModifiedDate

07/27/2022