MADELYN NICOLE KUSSMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007200

License Status

NOT RENEWED

Business

First Name

MADELYN

Middle

NICOLE

Last Name

KUSSMANN

Business Name

MADELYN NICOLE KUSSMANN

Original Issue Date

08/15/2019

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

ELDRIDGE

State

Zip

52748

Ever Disciplined

LastModifiedDate

07/27/2022