MICHELLE MARIE BOWEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004266

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MARIE

Last Name

BOWEN

Business Name

MICHELLE MARIE BOWEN

Original Issue Date

01/04/2012

Effective Date

02/17/2016

Expiration Date

03/01/2018

City

INDIANAPOLIS

State

Zip

46202

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2018