CORRI LEA EVANS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002692

License Status

INACTIVE

Business

First Name

CORRI

Middle

LEA

Last Name

EVANS

Business Name

CORRI LEA EVANS

Original Issue Date

03/02/2006

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SAN DIEGO

State

Zip

92131

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/23/2010