KAYVAN BINAEI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002649

License Status

NOT RENEWED

Business

First Name

KAYVAN

Last Name

BINAEI

Business Name

KAYVAN BINAEI

Original Issue Date

11/01/2005

Effective Date

11/01/2005

Expiration Date

03/01/2008

City

WILDWOOD

State

Zip

63011

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/23/2008