MYRIAM D RIBOH Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002767

License Status

NOT RENEWED

Business

First Name

MYRIAM

Middle

Last Name

RIBOH

Business Name

MYRIAM D RIBOH

Original Issue Date

08/08/2006

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

DURHAM

State

Zip

27707

Ever Disciplined

LastModifiedDate

05/10/2018