AIN A SEYOUM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000801

License Status

NOT RENEWED

Business

First Name

AIN A

Last Name

SEYOUM

Business Name

AIN A SEYOUM

Original Issue Date

04/20/1996

Effective Date

04/20/1996

Expiration Date

03/01/2002

City

BELTSVILLE

State

Zip

20705

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/09/2006