MEREDITH LEE HEIDENFELD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009630

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

LEE

Last Name

HEIDENFELD

Business Name

MEREDITH LEE HEIDENFELD

Original Issue Date

04/05/2023

Effective Date

04/05/2023

Expiration Date

03/01/2024

City

OCEANSIDE

State

Zip

92057

Ever Disciplined

LastModifiedDate

02/05/2025