PAULETTE J ONG Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001740

License Status

NOT RENEWED

Business

First Name

PAULETTE

Middle

Last Name

ONG

Business Name

PAULETTE J ONG

Original Issue Date

12/17/2001

Effective Date

03/23/2016

Expiration Date

03/01/2018

City

DAVENPORT

State

Zip

52807

County

SCOTT

Ever Disciplined

LastModifiedDate

05/10/2018