ELIZABETH DIANE DASSOW Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007694

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

DIANE

Last Name

DASSOW

Business Name

ELIZABETH DIANE DASSOW

Original Issue Date

05/29/2020

Effective Date

01/13/2022

Expiration Date

03/01/2024

City

DAVENPORT

State

Zip

52806

Ever Disciplined

LastModifiedDate

02/05/2025