SHIRLEY J HOM
License Number: PA9102291
Data As Of 4/29/2024
| Profession | Physician Assistant |
|---|---|
| License | PA9102291 |
| License Status | CLEAR/Active |
| License Expiration Date | 1/31/2026 |
| License Original Issue Date | 01/10/2003 |
| Address of Record | 2119 Fennell St |
| MAITLAND, FL 32751 | |
| Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain) | No |
| Discipline on File | No |
| Public Complaint | No |
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