MARALEE SHADLE PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002059

License Status

NOT RENEWED

Business

First Name

MARALEE

Last Name

SHADLE

Suffix

PA-C

Business Name

MARALEE SHADLE PA-C

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/01/2004

City

INGRAHAM

State

Zip

62434

County

CLAY

Ever Disciplined

LastModifiedDate

10/09/2006