DAVID OUMA OSEDO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003536

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

OUMA

Last Name

OSEDO

Business Name

DAVID OUMA OSEDO

Original Issue Date

08/11/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

MACON

State

Zip

31210

Ever Disciplined

LastModifiedDate

04/11/2012