LINDA ELIZABETH INGRAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000037

License Status

NOT RENEWED

Business

First Name

LINDA ELIZABETH

Last Name

INGRAM

Business Name

LINDA ELIZABETH INGRAM

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

03/01/1988

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

09/26/2006