GRACE LIYUEN HO LEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002438

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

LIYUEN HO

Last Name

LEE

Business Name

GRACE LIYUEN HO LEE

Original Issue Date

12/15/2004

Effective Date

12/15/2004

Expiration Date

03/01/2008

City

YUMA

State

Zip

85365

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/23/2008