DAVID OUMA OSEDO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

OUMA

Last Name

OSEDO

Business Name

DAVID OUMA OSEDO

Original Issue Date

03/30/2010

Effective Date

03/30/2010

Expiration Date

03/01/2012

City

MACON

State

Zip

31210

Ever Disciplined

LastModifiedDate

04/16/2012