SUZANNE MARY OKOLITA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002599

License Status

NOT RENEWED

Business

First Name

SUZANNE

Middle

MARY

Last Name

OKOLITA

Business Name

SUZANNE MARY OKOLITA

Original Issue Date

09/29/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

PHOENIX

State

Zip

85008

County

ARIZONA

Ever Disciplined

LastModifiedDate

04/01/2010