Delaware
Division of Professional Regulation
Kenny Howard Iman
Controlled Substances - Physician Assistant Csr
License number
DA-0006953
Date granted
06/16/2009
Date expires
06/30/2011
Class
Controlled Substances - Physician Assistant Csr
Status
Lapsed
Address
Tyaskin MD 21865
delawarelicensing.com
ID 20535086
LAST UPDATED 2024-04-11 13:06:29 UTC
LAST UPDATED 2024-04-11 13:06:29 UTC
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