BROOKE LINDA LOEWEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005190

License Status

NOT RENEWED

Business

First Name

BROOKE

Middle

LINDA

Last Name

LOEWEN

Business Name

BROOKE LINDA LOEWEN

Original Issue Date

09/03/2014

Effective Date

09/03/2014

Expiration Date

03/01/2016

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016