KIMBERLY WATSON HEISS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001189

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

WATSON

Last Name

HEISS

Business Name

KIMBERLY WATSON HEISS

Original Issue Date

01/12/1999

Effective Date

01/12/1999

Expiration Date

03/01/2000

City

FISHERS

State

Zip

46038

County

HAMILTON

Ever Disciplined

LastModifiedDate

09/26/2006