ALYVIAH ANN DURHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009040

License Status

NOT RENEWED

Business

First Name

ALYVIAH

Middle

ANN

Last Name

DURHAM

Business Name

ALYVIAH ANN DURHAM

Original Issue Date

07/15/2022

Effective Date

07/15/2022

Expiration Date

03/01/2024

City

LA VERNE

State

Zip

91750

Ever Disciplined

LastModifiedDate

02/05/2025