JANET LYNN MIEDEMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003447

License Status

NOT RENEWED

Business

First Name

JANET

Middle

LYNN

Last Name

MIEDEMA

Business Name

JANET LYNN MIEDEMA

Original Issue Date

03/31/2009

Effective Date

01/04/2012

Expiration Date

03/01/2014

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/22/2014