ALEXANDRA MAI TAMAYO MIN-TUN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007310

License Status

NOT RENEWED

Business

First Name

ALEXANDRA MAI

Middle

TAMAYO

Last Name

MIN-TUN

Business Name

ALEXANDRA MAI TAMAYO MIN-TUN

Original Issue Date

09/27/2019

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

SAN JOSE

State

Zip

95138

Ever Disciplined

LastModifiedDate

07/27/2022