JOEL WAYNE COOTS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004127

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

WAYNE

Last Name

COOTS

Business Name

JOEL WAYNE COOTS

Original Issue Date

09/14/2011

Effective Date

02/29/2012

Expiration Date

03/01/2014

City

VALPARAISO

State

Zip

46383

County

INDIANA

Ever Disciplined

LastModifiedDate

08/15/2014