COOPER LEON RENDON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004146

License Status

INACTIVE

Business

First Name

COOPER

Middle

LEON

Last Name

RENDON

Business Name

COOPER LEON RENDON

Original Issue Date

09/21/2011

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

INVER GROVE HEIGHTS

State

Zip

55077

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/24/2016