HAROLD EDWIN DURBIN JR Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007647

License Status

NOT RENEWED

Business

First Name

HAROLD

Middle

EDWIN

Last Name

DURBIN JR

Business Name

HAROLD EDWIN DURBIN JR

Original Issue Date

05/05/2020

Effective Date

05/05/2020

Expiration Date

03/01/2022

City

LOUISVILLE

State

Zip

68037

Ever Disciplined

LastModifiedDate

07/27/2022