CARLY KRISTINE OUVERSON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008903

License Status

ACTIVE

Business

First Name

CARLY

Middle

KRISTINE

Last Name

OUVERSON

Business Name

CARLY KRISTINE OUVERSON

Original Issue Date

02/23/2022

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

FERTILE

State

Zip

50434

Ever Disciplined

LastModifiedDate

01/30/2026