MIRANDA L BOECKMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005407

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

BOECKMAN

Business Name

MIRANDA L BOECKMAN

Original Issue Date

02/11/2015

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

BREDA

State

Zip

51436

County

IOWA

Ever Disciplined

LastModifiedDate

05/10/2018