THALALIA M HAMMERS Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001357

License Status

INACTIVE

Business

First Name

THALALIA

Middle

Last Name

HAMMERS

Business Name

THALALIA M HAMMERS

Original Issue Date

02/15/2000

Effective Date

03/25/2014

Expiration Date

03/01/2016

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/21/2016