DAWN ROSALIE YOUNGBLOOD - Physician Assistant License in Indiana | # 085003281

DAWN ROSALIE YOUNGBLOOD

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003281

License Status

NOT RENEWED

Business

N

First Name

DAWN

Middle

ROSALIE

Last Name

YOUNGBLOOD

Business Name

DAWN ROSALIE YOUNGBLOOD

Original Issue Date

08/18/2008

Effective Date

01/06/2010

Expiration Date

03/01/2012

State

IN

Ever Disciplined

N

LastModifiedDate

11/18/2015