THOMAS DEAN VESTAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000125

License Status

NOT RENEWED

Business

First Name

THOMAS DEAN

Last Name

VESTAL

Business Name

THOMAS DEAN VESTAL

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/26/2006