Alaska
Division of Corporations, Business and Professional Licensing
SHANNON LAVONNE MARTIN
Physician Assistants - Licensed Physician Assistant
License number
1054
Date granted
08/01/2012
Date expires
12/31/2014
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
8409 LADINA PLACE FORT WORTH TX 76131
alaskalicensing.com
ID 20414532
LAST UPDATED 2024-04-08 15:34:19 UTC
LAST UPDATED 2024-04-08 15:34:19 UTC
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