CAROLYN RENEE REDAR PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001777

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

RENEE

Last Name

REDAR

Suffix

PA-C

Business Name

CAROLYN RENEE REDAR PA-C

Original Issue Date

03/06/2002

Effective Date

03/06/2002

Expiration Date

03/01/2004

City

GRIFFIN

State

Zip

46319

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006