CLAIRE THERESE STOCKHAUSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****69

License Status

NOT RENEWED

Business

First Name

CLAIRE

Middle

THERESE

Last Name

STOCKHAUSEN

Business Name

CLAIRE THERESE STOCKHAUSEN

Original Issue Date

08/31/2012

Effective Date

08/31/2012

Expiration Date

03/01/2014

State

Ever Disciplined

LastModifiedDate

12/19/2013