MICHAEL EDWARD CHAMPION Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000884

License Status

NOT RENEWED

Business

First Name

MICHAEL EDWARD

Last Name

CHAMPION

Business Name

MICHAEL EDWARD CHAMPION

Original Issue Date

02/01/1997

Effective Date

02/01/1997

Expiration Date

03/01/1998

City

HUTCHINSON

State

Zip

67502

County

KANSAS

Ever Disciplined

LastModifiedDate

09/26/2006