KEVIN THOMAS WYNE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002558

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

THOMAS

Last Name

WYNE

Business Name

KEVIN THOMAS WYNE

Original Issue Date

09/06/2005

Effective Date

09/06/2005

Expiration Date

03/01/2008

City

BURLINGTON

State

Zip

05401

Ever Disciplined

LastModifiedDate

04/23/2008