RICHARD A EVANS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000102

License Status

NOT RENEWED

Business

First Name

RICHARD A

Last Name

EVANS

Business Name

RICHARD A EVANS

Original Issue Date

01/25/1977

Effective Date

01/25/1981

Expiration Date

01/25/1985

City

MESA

State

Zip

85209

Ever Disciplined

LastModifiedDate

07/01/2011