MELISSA ROSE VAN SICKEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****75

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

ROSE

Last Name

VAN SICKEL

Business Name

MELISSA ROSE VAN SICKEL

Original Issue Date

10/30/2007

Effective Date

02/25/2010

Expiration Date

03/01/2012

City

PARKER

State

Zip

80134

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/01/2015