MADELYN NICOLE KUSSMANN - Physician Assistant License in Iowa | # 38*****75

MADELYN NICOLE KUSSMANN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

N

First Name

MADELYN

Middle

NICOLE

Last Name

KUSSMANN

Business Name

MADELYN NICOLE KUSSMANN

Original Issue Date

01/27/2020

Effective Date

01/27/2020

Expiration Date

03/01/2022

State

IA

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

07/27/2022