JACQUELYN K N TRAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004353

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

K N

Last Name

TRAN

Business Name

JACQUELYN K N TRAN

Original Issue Date

07/16/2012

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

SANTA ANA

State

Zip

92707

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

04/25/2016