HOA THI MAI TRAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002168

License Status

NOT RENEWED

Business

First Name

HOA

Middle

THI MAI

Last Name

TRAN

Business Name

HOA THI MAI TRAN

Original Issue Date

10/30/2003

Effective Date

10/30/2003

Expiration Date

03/01/2004

City

COLUMBIA

State

Zip

65203

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006