MARILYN THOMSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001239

License Status

NOT RENEWED

Business

First Name

MARILYN

Last Name

THOMSON

Business Name

MARILYN THOMSON

Original Issue Date

09/13/1999

Effective Date

01/28/2010

Expiration Date

03/01/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/27/2015