New Mexico
Regulation & Licensing Department
Tina F Derr
Physician Assistant - Medical
License number
PA2004-0030
Date granted
07/07/2004
Date expires
03/01/2015
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5277410
LAST UPDATED 2024-04-25 18:56:18 UTC
LAST UPDATED 2024-04-25 18:56:18 UTC
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