FOSTER A DUZAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000343

License Status

NOT RENEWED

Business

First Name

FOSTER A

Last Name

DUZAN

Business Name

FOSTER A DUZAN

Original Issue Date

12/19/1987

Effective Date

12/19/1987

Expiration Date

03/01/1988

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

02/06/2018