MARK HERBERT SINK Physician Assistant License verification

Business Entity

CANCELLED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

CANCELLED

Business

First Name

MARK

Middle

HERBERT

Last Name

SINK

Business Name

MARK HERBERT SINK

Original Issue Date

11/09/2004

Effective Date

03/01/2010

Expiration Date

03/01/2012

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/09/2010