KATIE CARLSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006817

License Status

NOT RENEWED

Business

First Name

KATIE

Last Name

CARLSON

Business Name

KATIE CARLSON

Original Issue Date

11/08/2018

Effective Date

12/18/2019

Expiration Date

03/01/2022

City

HIGHLAND

State

Zip

46322

Ever Disciplined

LastModifiedDate

07/27/2022