MINGLU ZHAO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003563

License Status

NOT RENEWED

Business

First Name

MINGLU

Last Name

ZHAO

Business Name

MINGLU ZHAO

Original Issue Date

09/04/2009

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

11/19/2015