MATTHEW A FROMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001821

License Status

NOT RENEWED

Business

First Name

MATTHEW A

Last Name

FROMAN

Business Name

MATTHEW A FROMAN

Original Issue Date

07/24/2002

Effective Date

07/24/2002

Expiration Date

03/01/2004

City

ARTHUR

State

Zip

61911

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/09/2006