DANA JANINE KILLMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001554

License Status

NOT RENEWED

Business

First Name

DANA

Middle

JANINE

Last Name

KILLMAN

Business Name

DANA JANINE KILLMAN

Original Issue Date

02/07/2001

Effective Date

02/07/2001

Expiration Date

03/01/2004

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/09/2006