AUSTIN THEISZ Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010172

License Status

ACTIVE

Business

First Name

AUSTIN

Last Name

THEISZ

Business Name

AUSTIN THEISZ

Original Issue Date

11/03/2023

Effective Date

02/26/2024

Expiration Date

03/01/2026

City

TERRE HAUTE

State

Zip

47802

Ever Disciplined

LastModifiedDate

12/03/2025