HEATHER ANNE KONZELMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003253

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

ANNE

Last Name

KONZELMANN

Business Name

HEATHER ANNE KONZELMANN

Original Issue Date

07/30/2008

Effective Date

02/26/2014

Expiration Date

03/01/2016

City

CUMMING

State

Zip

30041

Ever Disciplined

LastModifiedDate

04/25/2016