JEAN VAUGHN CROSS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000099

License Status

NOT RENEWED

Business

First Name

JEAN VAUGHN

Last Name

CROSS

Business Name

JEAN VAUGHN CROSS

Original Issue Date

01/25/1981

Effective Date

01/25/1981

Expiration Date

01/25/1983

City

TROTWOOD

State

Zip

45426

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

09/26/2006