CHRISTOPHER SCOTT MAYBERRY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002022

License Status

INACTIVE

Business

First Name

CHRISTOPHER

Middle

SCOTT

Last Name

MAYBERRY

Business Name

CHRISTOPHER SCOTT MAYBERRY

Original Issue Date

07/03/2003

Effective Date

07/03/2003

Expiration Date

03/01/2006

City

LA MESA

State

Zip

91942

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/09/2006