KATHLEEN JOYCE MITCHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002711

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

JOYCE

Last Name

MITCHAM

Business Name

KATHLEEN JOYCE MITCHAM

Original Issue Date

05/01/2006

Effective Date

08/23/2012

Expiration Date

03/01/2014

City

DAVENPORT

State

Zip

52806

County

IOWA

Ever Disciplined

LastModifiedDate

04/08/2014