PHILIP DAVID EDDY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000025

License Status

NOT RENEWED

Business

First Name

PHILIP DAVID

Last Name

EDDY

Business Name

PHILIP DAVID EDDY

Original Issue Date

11/15/1980

Effective Date

11/15/1980

Expiration Date

11/15/1982

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

09/26/2006