MICHAEL R SPEER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000082

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

SPEER

Business Name

MICHAEL R SPEER

Original Issue Date

11/05/1980

Effective Date

11/05/1980

Expiration Date

11/05/1984

City

JUNCTION

State

Zip

62954

County

GALLATIN

Ever Disciplined

LastModifiedDate

09/26/2006