HUONG THIEU TIMP Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****14

License Status

NOT RENEWED

Business

First Name

HUONG

Middle

THIEU

Last Name

TIMP

Business Name

HUONG THIEU TIMP

Original Issue Date

08/16/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

12/27/2010