MICKI MARIE WHEELER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****50

License Status

NOT RENEWED

Business

First Name

MICKI

Middle

MARIE

Last Name

WHEELER

Business Name

MICKI MARIE WHEELER

Original Issue Date

01/10/2011

Effective Date

03/02/2012

Expiration Date

03/01/2014

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

11/23/2015