ANGELA DAWN DOLPHIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001956

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

DAWN

Last Name

DOLPHIN

Business Name

ANGELA DAWN DOLPHIN

Original Issue Date

12/17/2002

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

DAVENPORT

State

Zip

52801

County

IOWA

Ever Disciplined

LastModifiedDate

04/01/2010