PHILIP J DAUERNHEIM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000906

License Status

NOT RENEWED

Business

First Name

PHILIP

Middle

Last Name

DAUERNHEIM

Business Name

PHILIP J DAUERNHEIM

Original Issue Date

03/19/1997

Effective Date

03/19/1997

Expiration Date

03/01/2000

City

SANFORD

State

Zip

27332

Ever Disciplined

LastModifiedDate

09/26/2006