PAULINE E CLAVIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000098

License Status

NOT RENEWED

Business

First Name

PAULINE E

Last Name

CLAVIN

Business Name

PAULINE E CLAVIN

Original Issue Date

02/05/1981

Effective Date

02/05/1981

Expiration Date

02/05/1983

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

09/26/2006