CHRISTINE MARIE FOLLOWILL Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002023

License Status

INACTIVE

Business

First Name

CHRISTINE

Middle

MARIE

Last Name

FOLLOWILL

Business Name

CHRISTINE MARIE FOLLOWILL

Original Issue Date

07/03/2003

Effective Date

07/03/2003

Expiration Date

03/01/2006

City

PROVIDENCE

State

Zip

02906

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

10/09/2006