LINDSEY C POULSEN - Physician Assistant License in Oregon | # 085000991

LINDSEY C POULSEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000991

License Status

NOT RENEWED

Business

N

First Name

LINDSEY

Middle

C

Last Name

POULSEN

Business Name

LINDSEY C POULSEN

Original Issue Date

01/20/1998

Effective Date

03/23/2011

Expiration Date

03/01/2012

State

OR

Ever Disciplined

N

LastModifiedDate

04/11/2012