MEGAN M WIESEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001831

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

Last Name

WIESEL

Business Name

MEGAN M WIESEL

Original Issue Date

07/30/2002

Effective Date

07/30/2002

Expiration Date

03/01/2006

City

BETTENDORF

State

Zip

52722

County

SCOTT

Ever Disciplined

LastModifiedDate

10/09/2006