COURTNEY SCOTT DORAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001678

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

SCOTT

Last Name

DORAN

Business Name

COURTNEY SCOTT DORAN

Original Issue Date

11/06/2001

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

CARMEL

State

Zip

46074

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014