HEIDI DAWN DUFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003013

License Status

NOT RENEWED

Business

First Name

HEIDI

Middle

DAWN

Last Name

DUFF

Business Name

HEIDI DAWN DUFF

Original Issue Date

08/02/2007

Effective Date

02/25/2016

Expiration Date

03/01/2018

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2018