HALEY NICOLE LUEDLOFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****55

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

NICOLE

Last Name

LUEDLOFF

Business Name

HALEY NICOLE LUEDLOFF

Original Issue Date

10/01/2014

Effective Date

10/01/2014

Expiration Date

03/01/2016

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/26/2016