RUSSELL L QUINTON Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001560

License Status

INACTIVE

Business

First Name

RUSSELL

Middle

Last Name

QUINTON

Business Name

RUSSELL L QUINTON

Original Issue Date

02/16/2001

Effective Date

02/16/2001

Expiration Date

03/01/2006

City

POPLAR BLUFF

State

Zip

63901

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006