MELISSA L OLTHOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005548

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

OLTHOFF

Business Name

MELISSA L OLTHOFF

Original Issue Date

07/14/2015

Effective Date

02/04/2016

Expiration Date

03/01/2018

City

NORTH LIBERTY

State

Zip

52317

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/10/2018