MELISSA JANE BUTLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002565

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

JANE

Last Name

BUTLER

Business Name

MELISSA JANE BUTLER

Original Issue Date

09/08/2005

Effective Date

09/08/2005

Expiration Date

03/01/2006

City

CENTENNIAL

State

Zip

80112

County

COLORADO

Ever Disciplined

LastModifiedDate

10/09/2006