License holder summary

Jack D Runyan is a Physician Assistant - Medical licensed to practice in New Mexico. This licensed professional license is not current. The license was granted 03/28/1985 and expired on 08/31/1987.

New Mexico

Regulation & Licensing Department

Jack D Runyan
Physician Assistant - Medical
License number
85-PA004
Date granted
03/28/1985
Date expires
08/31/1987
Class
Physician Assistant - Medical
Status
Inactive
licensingnm.com
ID 5288279
LAST UPDATED 2026-04-18 14:10:10 UTC

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