KIMANH THI DANG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****98

License Status

NOT RENEWED

Business

First Name

KIMANH

Middle

THI

Last Name

DANG

Business Name

KIMANH THI DANG

Original Issue Date

07/12/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

01/07/2009