COLLEEN KATHERINE WUELLNER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003669

License Status

NOT RENEWED

Business

First Name

COLLEEN

Middle

KATHERINE

Last Name

WUELLNER

Business Name

COLLEEN KATHERINE WUELLNER

Original Issue Date

12/07/2009

Effective Date

12/07/2009

Expiration Date

03/01/2012

City

PINE

State

Zip

80470

Ever Disciplined

LastModifiedDate

11/10/2015