CHRISTEN MARIE DITMAR Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006547

License Status

ACTIVE

Business

First Name

CHRISTEN

Middle

MARIE

Last Name

DITMAR

Business Name

CHRISTEN MARIE DITMAR

Original Issue Date

03/20/2018

Effective Date

03/05/2024

Expiration Date

03/01/2026

City

DAVENPORT

State

Zip

52804

County

SCOTT

Ever Disciplined

LastModifiedDate

12/03/2025