TODD THOMAS PARKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001487

License Status

NOT RENEWED

Business

First Name

TODD

Middle

THOMAS

Last Name

PARKER

Business Name

TODD THOMAS PARKER

Original Issue Date

11/15/2000

Effective Date

11/15/2000

Expiration Date

03/01/2006

City

CRESTWOOD

State

Zip

63126

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006