MICHELLE MARIE BOWEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****81

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

BOWEN

Business Name

MICHELLE MARIE BOWEN

Original Issue Date

03/28/2012

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

STRONGHURST

State

Zip

61480

County

HENDERSON

Ever Disciplined

LastModifiedDate

05/10/2018