DONNA K MAYO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****04

License Status

NOT RENEWED

Business

First Name

DONNA K

Last Name

MAYO

Business Name

DONNA K MAYO

Original Issue Date

11/20/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

MURPHYSBORO

State

Zip

62966

County

JACKSON

Ever Disciplined

LastModifiedDate

08/11/2008