NICHOLE ELIZABETH TWEDT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002571

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ELIZABETH

Last Name

TWEDT

Business Name

NICHOLE ELIZABETH TWEDT

Original Issue Date

09/14/2005

Effective Date

09/14/2005

Expiration Date

03/01/2008

City

W BURLINGTON

State

Zip

52655

County

IOWA

Ever Disciplined

LastModifiedDate

04/23/2008