THALALIA M HAMMERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****58

License Status

NOT RENEWED

Business

First Name

THALALIA

Middle

Last Name

HAMMERS

Business Name

THALALIA M HAMMERS

Original Issue Date

03/22/2001

Effective Date

03/03/2010

Expiration Date

03/01/2012

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

04/11/2012