CORALEE RUTH KONING PA-C Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001055

License Status

INACTIVE

Business

First Name

CORALEE

Middle

RUTH

Last Name

KONING

Suffix

PA-C

Business Name

CORALEE RUTH KONING PA-C

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

03/01/2002

City

VANCOUVER

State

Zip

98682

County

CLARK

Ever Disciplined

LastModifiedDate

10/09/2006