SHIRLEY A DALLMIER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000622

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

DALLMIER

Business Name

SHIRLEY A DALLMIER

Original Issue Date

08/19/1994

Effective Date

04/21/2016

Expiration Date

03/01/2018

City

ARCOLA

State

Zip

61910

County

DOUGLAS

Ever Disciplined

LastModifiedDate

05/10/2018