SANDY L SLOCUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000768

License Status

NOT RENEWED

Business

First Name

SANDY L

Last Name

SLOCUM

Business Name

SANDY L SLOCUM

Original Issue Date

02/07/1996

Effective Date

02/07/1996

Expiration Date

03/01/1998

City

DENVER

State

Zip

80206

County

COLORADO

Ever Disciplined

LastModifiedDate

09/26/2006