EDWARD E SLOUP PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000957

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

SLOUP

Suffix

PA-C

Business Name

EDWARD E SLOUP PA-C

Original Issue Date

01/14/1998

Effective Date

01/14/1998

Expiration Date

03/01/2000

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/26/2006