ASSEM MIARI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007422

License Status

NOT RENEWED

Business

First Name

ASSEM

Last Name

MIARI

Business Name

ASSEM MIARI

Original Issue Date

10/29/2019

Effective Date

01/14/2020

Expiration Date

03/01/2022

City

ANKENY

State

Zip

50023

Ever Disciplined

LastModifiedDate

07/27/2022