TIMOTHY K THURSTON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000805

License Status

NOT RENEWED

Business

First Name

TIMOTHY K

Last Name

THURSTON

Business Name

TIMOTHY K THURSTON

Original Issue Date

06/12/1996

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

BOAZ

State

Zip

42027

County

KENTUCKY

Ever Disciplined

LastModifiedDate

05/10/2018