MARY KATHRYN ROSENHAUER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001667

License Status

NOT RENEWED

Business

First Name

MARY

Middle

KATHRYN

Last Name

ROSENHAUER

Business Name

MARY KATHRYN ROSENHAUER

Original Issue Date

11/01/2001

Effective Date

03/09/2018

Expiration Date

03/01/2020

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

11/24/2020