DAVID BAYLEY VAN HOORNBEEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001103

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BAYLEY

Last Name

VAN HOORNBEEK

Business Name

DAVID BAYLEY VAN HOORNBEEK

Original Issue Date

12/28/1998

Effective Date

12/28/1998

Expiration Date

03/01/2000

City

SHREWSBURY

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/26/2006