TIMOTHY EDWARD AHEARNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005266

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

EDWARD

Last Name

AHEARNE

Business Name

TIMOTHY EDWARD AHEARNE

Original Issue Date

09/26/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

LONE TREE

State

Zip

80124

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/10/2018