CHRISTOPHER ALAN BUREAU PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002203

License Status

NOT RENEWED

Business

First Name

CHRISTOPHER

Middle

ALAN

Last Name

BUREAU

Suffix

PA-C

Business Name

CHRISTOPHER ALAN BUREAU PA-C

Original Issue Date

01/21/2004

Effective Date

01/21/2004

Expiration Date

03/01/2006

City

SCARBOROUGH

State

Zip

04074

County

MAINE

Ever Disciplined

LastModifiedDate

10/09/2006