MADELINE ANNE HIMPELMANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008368

License Status

NOT RENEWED

Business

First Name

MADELINE

Middle

ANNE

Last Name

HIMPELMANN

Business Name

MADELINE ANNE HIMPELMANN

Original Issue Date

06/14/2021

Effective Date

02/01/2022

Expiration Date

03/01/2024

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/05/2025