GERALYN G TIERNEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000180

License Status

NOT RENEWED

Business

First Name

GERALYN G

Last Name

TIERNEY

Business Name

GERALYN G TIERNEY

Original Issue Date

04/13/1982

Effective Date

04/13/1982

Expiration Date

04/13/1984

City

WESTWOOD

State

Zip

02090

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/26/2006