IAN P HART Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006344

License Status

NOT RENEWED

Business

First Name

IAN

Middle

Last Name

HART

Business Name

IAN P HART

Original Issue Date

09/12/2017

Effective Date

12/24/2019

Expiration Date

03/01/2022

City

DAVENPORT

State

Zip

52803

County

SCOTT

Ever Disciplined

LastModifiedDate

07/27/2022