CHRISTINE CHANMYAETHU TUN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008571

License Status

NOT RENEWED

Business

First Name

CHRISTINE

Middle

CHANMYAETHU

Last Name

TUN

Business Name

CHRISTINE CHANMYAETHU TUN

Original Issue Date

08/25/2021

Effective Date

08/25/2021

Expiration Date

03/01/2022

City

GAITHERSBURG

State

Zip

20878

Ever Disciplined

LastModifiedDate

07/27/2022