MARY ELIZABETH DOLAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****38

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

DOLAN

Business Name

MARY ELIZABETH DOLAN

Original Issue Date

08/27/2009

Effective Date

08/27/2009

Expiration Date

03/01/2010

City

QUINCY

State

Zip

62351

County

ADAMS

Ever Disciplined

LastModifiedDate

12/01/2009