LUCRISHA M BANFORD
Physician Assistants - Physician Assistant
Iowa 001573 Inactive
This Iowa license was held by LUCRISHA M BANFORD. The license is no longer active. It was granted on 06/30/2004 and expired on 09/30/2006
LICENSE DETAILS
- License Number: 001573
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 06/30/2004 (almost 21 years ago)
- Expiry Date: 09/30/2006 (over 18 years ago)
LOCATIONS
A Address
21756 GREEN STABLE SQUARE APT 410 ASHBURN VA 20147