PAIGE FARRELL DE MARIO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000364

License Status

INACTIVE

Business

First Name

PAIGE FARRELL

Last Name

DE MARIO

Business Name

PAIGE FARRELL DE MARIO

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

03/01/1992

City

LOS ANGELES

State

Zip

90048

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/26/2006