ELIZABETH JEANETTE DURHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005280

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

JEANETTE

Last Name

DURHAM

Business Name

ELIZABETH JEANETTE DURHAM

Original Issue Date

09/30/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

HOLLISTER

State

Zip

95023

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

05/10/2018