DAVID S GOLDFARB Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000655

License Status

NOT RENEWED

Business

First Name

DAVID S

Last Name

GOLDFARB

Business Name

DAVID S GOLDFARB

Original Issue Date

12/19/1994

Effective Date

12/19/1994

Expiration Date

03/01/1996

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/10/2015