New Mexico
Regulation & Licensing Department
Joan D Prouty
Physician Assistant - Medical
License number
98-PA26
Date granted
09/30/1998
Date expires
03/01/2014
Class
Physician Assistant - Medical
Status
Active
licensingnm.com
ID 5287763
LAST UPDATED 2024-04-25 13:31:34 UTC
LAST UPDATED 2024-04-25 13:31:34 UTC
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