TIM R SPENCER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000600

License Status

NOT RENEWED

Business

First Name

TIM R

Last Name

SPENCER

Business Name

TIM R SPENCER

Original Issue Date

06/22/1994

Effective Date

06/22/1994

Expiration Date

03/01/2008

City

PLYMOUTH

State

Zip

48170

County

WAYNE

Ever Disciplined

LastModifiedDate

04/23/2008