APRIL TIFFANY DUMONT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004936

License Status

NOT RENEWED

Business

First Name

APRIL

Middle

TIFFANY

Last Name

DUMONT

Business Name

APRIL TIFFANY DUMONT

Original Issue Date

10/29/2013

Effective Date

01/08/2014

Expiration Date

03/01/2016

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

04/25/2016