FRED G MINER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009265

License Status

ACTIVE

Business

First Name

FRED

Middle

Last Name

MINER

Business Name

FRED G MINER

Original Issue Date

09/27/2022

Effective Date

02/19/2024

Expiration Date

03/01/2026

City

PHOENIX

State

Zip

85050

Ever Disciplined

LastModifiedDate

12/03/2025