ASHLEY MELLISSA GROELLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003683

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MELLISSA

Last Name

GROELLER

Business Name

ASHLEY MELLISSA GROELLER

Original Issue Date

01/14/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

COLUMBIA CITY

State

Zip

46725

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014