ALFREDD TAN LIM JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002657

License Status

NOT RENEWED

Business

First Name

ALFREDD

Middle

TAN

Last Name

LIM

Suffix

Business Name

ALFREDD TAN LIM JR

Original Issue Date

11/09/2005

Effective Date

11/09/2005

Expiration Date

03/01/2006

City

WEST MEMPHIS

State

Zip

72301

County

ARKANSAS

Ever Disciplined

LastModifiedDate

10/09/2006