XIN MA PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001284

License Status

INACTIVE

Business

First Name

XIN

Last Name

Suffix

PA-C

Business Name

XIN MA PA-C

Original Issue Date

12/23/1999

Effective Date

12/23/1999

Expiration Date

03/01/2002

City

ST LOUIS

State

Zip

63143

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006