JAMIE L KOUMOUNDOUROS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003941

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

Last Name

KOUMOUNDOUROS

Business Name

JAMIE L KOUMOUNDOUROS

Original Issue Date

10/19/2010

Effective Date

08/08/2012

Expiration Date

03/01/2014

City

CUMMING

State

Zip

30040

County

GEORGIA

Ever Disciplined

LastModifiedDate

04/08/2014