ANNELIESE V CHAI PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001265

License Status

NOT RENEWED

Business

First Name

ANNELIESE

Middle

Last Name

CHAI

Suffix

PA-C

Business Name

ANNELIESE V CHAI PA-C

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2004

City

COLUMBUS

State

Zip

31909

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/09/2006