KASAUNDRA RAE HEIBERGER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005641

License Status

INACTIVE

Business

First Name

KASAUNDRA

Middle

RAE

Last Name

HEIBERGER

Business Name

KASAUNDRA RAE HEIBERGER

Original Issue Date

09/17/2015

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

12/18/2019