TERRY DEBORAH MARTIN PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000683

License Status

INACTIVE

Business

First Name

TERRY

Middle

DEBORAH

Last Name

MARTIN

Suffix

PA-C

Business Name

TERRY DEBORAH MARTIN PA-C

Original Issue Date

04/11/1995

Effective Date

04/11/1995

Expiration Date

03/01/1998

City

PRESCOTT

State

Zip

86301

County

ARIZONA

Ever Disciplined

LastModifiedDate

09/26/2006