ALEXANDRA KANE HOM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006534

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

KANE

Last Name

HOM

Business Name

ALEXANDRA KANE HOM

Original Issue Date

03/01/2018

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

CLAYTON

State

Zip

94517

Ever Disciplined

LastModifiedDate

11/24/2020