MARIANA FAYMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002369

License Status

NOT RENEWED

Business

First Name

MARIANA

Last Name

FAYMAN

Business Name

MARIANA FAYMAN

Original Issue Date

10/04/2004

Effective Date

10/04/2004

Expiration Date

03/01/2008

City

CONWAY

State

Zip

72034

County

JACKSON

Ever Disciplined

LastModifiedDate

02/05/2009