JEFFREY DUANE HUDSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003864

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

DUANE

Last Name

HUDSON

Business Name

JEFFREY DUANE HUDSON

Original Issue Date

09/15/2010

Effective Date

09/15/2010

Expiration Date

03/01/2012

City

TWIN FALLS

State

Zip

83301

County

IDAHO

Ever Disciplined

LastModifiedDate

04/11/2012