SUSAN KREBILL MACDOWELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003528

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

KREBILL

Last Name

MACDOWELL

Business Name

SUSAN KREBILL MACDOWELL

Original Issue Date

07/31/2009

Effective Date

03/03/2020

Expiration Date

03/01/2022

City

ROCKTON

State

Zip

61072

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022