ADAM DANIEL CROUMER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000137

License Status

NOT RENEWED

Business

First Name

ADAM DANIEL

Last Name

CROUMER

Business Name

ADAM DANIEL CROUMER

Original Issue Date

04/14/1981

Effective Date

04/14/1981

Expiration Date

04/14/1983

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/26/2006