MATT P SCHEIDENHELM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****79

License Status

NOT RENEWED

Business

First Name

MATT

Middle

Last Name

SCHEIDENHELM

Business Name

MATT P SCHEIDENHELM

Original Issue Date

02/23/2005

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/18/2008