DAWN ROSALIE YOUNGBLOOD Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003281

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

ROSALIE

Last Name

YOUNGBLOOD

Business Name

DAWN ROSALIE YOUNGBLOOD

Original Issue Date

08/18/2008

Effective Date

01/06/2010

Expiration Date

03/01/2012

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

11/18/2015