JAMES SAMUEL LYTLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001586

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

SAMUEL

Last Name

LYTLE

Business Name

JAMES SAMUEL LYTLE

Original Issue Date

06/28/2001

Effective Date

06/28/2001

Expiration Date

03/01/2008

City

INDEPENDENCE

State

Zip

41051

Ever Disciplined

LastModifiedDate

04/23/2008