DARRELL R MILLSAP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000267

License Status

NOT RENEWED

Business

First Name

DARRELL R

Last Name

MILLSAP

Business Name

DARRELL R MILLSAP

Original Issue Date

02/21/1984

Effective Date

02/21/1984

Expiration Date

03/01/1988

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

09/26/2006