ALLISON RAE KOMAN PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001054

License Status

NOT RENEWED

Business

First Name

ALLISON

Middle

RAE

Last Name

KOMAN

Suffix

PA-C

Business Name

ALLISON RAE KOMAN PA-C

Original Issue Date

05/22/1998

Effective Date

05/22/1998

Expiration Date

03/01/2002

City

WESTWOOD

State

Zip

02090

Ever Disciplined

LastModifiedDate

10/09/2006