APRIL TIFFANY DUMONT Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****97

License Status

INOPERATIVE

Business

First Name

APRIL

Middle

TIFFANY

Last Name

DUMONT

Business Name

APRIL TIFFANY DUMONT

Original Issue Date

12/19/2013

Effective Date

12/19/2013

Expiration Date

03/01/2016

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/07/2015