GAIL A HEINZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003462

License Status

NOT RENEWED

Business

First Name

GAIL

Middle

Last Name

HEINZ

Business Name

GAIL A HEINZ

Original Issue Date

05/28/2009

Effective Date

03/09/2012

Expiration Date

03/01/2014

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

08/21/2014