CARA VIVIAN VAN WEELDEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004781

License Status

NOT RENEWED

Business

First Name

CARA

Middle

VIVIAN

Last Name

VAN WEELDEN

Business Name

CARA VIVIAN VAN WEELDEN

Original Issue Date

07/26/2013

Effective Date

03/04/2016

Expiration Date

03/01/2018

City

ZIONSVILLE

State

Zip

46077

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2018