ALEX KIMIO HIROSE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004961

License Status

NOT RENEWED

Business

First Name

ALEX

Middle

KIMIO

Last Name

HIROSE

Business Name

ALEX KIMIO HIROSE

Original Issue Date

12/18/2013

Effective Date

12/18/2013

Expiration Date

03/01/2016

City

COLORADO SPRINGS

State

Zip

80918

County

COLORADO

Ever Disciplined

LastModifiedDate

04/25/2016