HUONG THIEU TIMP Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003007

License Status

INACTIVE

Business

First Name

HUONG

Middle

THIEU

Last Name

TIMP

Business Name

HUONG THIEU TIMP

Original Issue Date

07/24/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SAINT AUGUSTA

State

Zip

55382

County

MINNESOTA

Ever Disciplined

LastModifiedDate

12/27/2010