AMBER MICHELLE TEIGEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005292

License Status

NOT RENEWED

Business

First Name

AMBER

Middle

MICHELLE

Last Name

TEIGEN

Business Name

AMBER MICHELLE TEIGEN

Original Issue Date

10/06/2014

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/10/2018