ANGELA P URBAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003144

License Status

INACTIVE

Business

First Name

ANGELA

Middle

Last Name

URBAN

Business Name

ANGELA P URBAN

Original Issue Date

11/07/2007

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

SOMERSET

State

Zip

15501

Ever Disciplined

LastModifiedDate

12/27/2010