TIMOTHY D EASTBURN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000910

License Status

NOT RENEWED

Business

First Name

TIMOTHY D

Last Name

EASTBURN

Business Name

TIMOTHY D EASTBURN

Original Issue Date

04/22/1997

Effective Date

04/22/1997

Expiration Date

03/01/1998

City

NORRISTOWN

State

Zip

19401

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/26/2006

Case Number

2001002678

Action

Suspension

Discipline Start Date

12/30/2002

Discipline Reason

Disciplined in Ohio.