TODD ALAN OSTERBUR Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002260

License Status

INACTIVE

Business

First Name

TODD

Middle

ALAN

Last Name

OSTERBUR

Business Name

TODD ALAN OSTERBUR

Original Issue Date

07/15/2004

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

PONTE VEDRA

State

Zip

32081

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/12/2012