ASHLEY MELLISSA GROELLER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

MELLISSA

Last Name

GROELLER

Business Name

ASHLEY MELLISSA GROELLER

Original Issue Date

02/11/2010

Effective Date

02/24/2012

Expiration Date

03/01/2014

City

COLUMBIA CITY

State

Zip

46725

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014