MIA DIANE WERNER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004422

License Status

ACTIVE

Business

First Name

MIA

Middle

DIANE

Last Name

WERNER

Business Name

MIA DIANE WERNER

Original Issue Date

08/23/2012

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

LOUISVILLE

State

Zip

40206

Ever Disciplined

LastModifiedDate

02/24/2026