License holder summary

SHANNON LAVONNE MARTIN is a Physician Assistants - Licensed Physician Assistant licensed to practice in Alaska. The address on file for SHANNON LAVONNE MARTIN is 8409 LADINA PLACE FORT WORTH TX 76131. This licensed professional license is current. The license was granted 08/01/2012 and expired on 12/31/2014.

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 2024-02-25 07:13:41 UTC

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