MEGAN ELIZABETH WATERKOTTE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005200

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

ELIZABETH

Last Name

WATERKOTTE

Business Name

MEGAN ELIZABETH WATERKOTTE

Original Issue Date

09/05/2014

Effective Date

02/09/2016

Expiration Date

03/01/2018

City

PHOENIX

State

Zip

85048

County

ARIZONA

Ever Disciplined

LastModifiedDate

05/10/2018