ELIA L HOEKSTRA Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002742

License Status

INACTIVE

Business

First Name

ELIA

Middle

Last Name

HOEKSTRA

Business Name

ELIA L HOEKSTRA

Original Issue Date

07/19/2006

Effective Date

01/05/2010

Expiration Date

03/01/2012

City

FORT WAYNE

State

Zip

46814

Ever Disciplined

LastModifiedDate

02/07/2012