MEGAN SUZANNE WALDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002580

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

SUZANNE

Last Name

WALDEN

Business Name

MEGAN SUZANNE WALDEN

Original Issue Date

09/16/2005

Effective Date

09/16/2005

Expiration Date

03/01/2008

City

DAVENPORT

State

Zip

52803

County

IOWA

Ever Disciplined

LastModifiedDate

04/23/2008