ZESTA S R CHILDERS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004356

License Status

NOT RENEWED

Business

First Name

ZESTA

Middle

S R

Last Name

CHILDERS

Business Name

ZESTA S R CHILDERS

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/01/2014

City

SAINT LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/07/2014