JODI ANN HETTERMANN PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002005

License Status

NOT RENEWED

Business

First Name

JODI

Middle

ANN

Last Name

HETTERMANN

Suffix

PA-C

Business Name

JODI ANN HETTERMANN PA-C

Original Issue Date

04/23/2003

Effective Date

04/23/2003

Expiration Date

03/01/2004

City

INDIANAPOLIS

State

Zip

46208

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006