SHERISE LOU ELLEN DEARDORFF Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003822

License Status

NOT RENEWED

Business

First Name

SHERISE

Middle

LOU ELLEN

Last Name

DEARDORFF

Business Name

SHERISE LOU ELLEN DEARDORFF

Original Issue Date

08/11/2010

Effective Date

01/21/2014

Expiration Date

03/01/2016

City

WARSAW

State

Zip

46580

County

INDIANA

Ever Disciplined

LastModifiedDate

04/05/2017