DONALD A SALLY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000788

License Status

INACTIVE

Business

First Name

DONALD A

Last Name

SALLY

Business Name

DONALD A SALLY

Original Issue Date

02/28/1996

Effective Date

02/28/1996

Expiration Date

03/01/2002

City

DALLAS

State

Zip

75231

County

TEXAS

Ever Disciplined

LastModifiedDate

10/09/2006