MICHELLE CHRISTINE MALZAHN - Physician Assistant License in Missouri | # 085005711

MICHELLE CHRISTINE MALZAHN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005711

License Status

NOT RENEWED

Business

N

First Name

MICHELLE

Middle

CHRISTINE

Last Name

MALZAHN

Business Name

MICHELLE CHRISTINE MALZAHN

Original Issue Date

10/16/2015

Effective Date

10/16/2015

Expiration Date

03/01/2016

State

MO

Ever Disciplined

N

LastModifiedDate

04/25/2016