LINDSEY JOAN PETERSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005968

License Status

NOT RENEWED

Business

First Name

LINDSEY

Middle

JOAN

Last Name

PETERSON

Business Name

LINDSEY JOAN PETERSON

Original Issue Date

09/09/2016

Effective Date

02/12/2022

Expiration Date

03/01/2024

City

SANTA ROSA

State

Zip

95403

Ever Disciplined

LastModifiedDate

02/05/2025