TINIKI RANARD WHITE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003962

License Status

NOT RENEWED

Business

First Name

TINIKI

Middle

RANARD

Last Name

WHITE

Business Name

TINIKI RANARD WHITE

Original Issue Date

11/30/2010

Effective Date

03/09/2020

Expiration Date

03/01/2022

City

CHESAPEAKE

State

Zip

23320

Ever Disciplined

LastModifiedDate

07/27/2022