ROBIN WALL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001297

License Status

NOT RENEWED

Business

First Name

ROBIN

Last Name

WALL

Business Name

ROBIN WALL

Original Issue Date

12/27/1999

Effective Date

12/27/1999

Expiration Date

03/01/2006

City

NEW HAVEN

State

Zip

06511

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/09/2006