SUSAN A MCKINNEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000351

License Status

NOT RENEWED

Business

First Name

SUSAN A

Last Name

MCKINNEY

Business Name

SUSAN A MCKINNEY

Original Issue Date

03/22/1988

Effective Date

03/22/1988

Expiration Date

03/01/1990

City

INDIANAPOLIS

State

Zip

46214

County

INDIANA

Ever Disciplined

LastModifiedDate

09/26/2006