THERESA ANN MULLIN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001093

License Status

INACTIVE

Business

First Name

THERESA

Middle

ANN

Last Name

MULLIN

Business Name

THERESA ANN MULLIN

Original Issue Date

10/02/1998

Effective Date

10/02/1998

Expiration Date

03/01/2002

City

SELAH

State

Zip

98942

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006