KIMBERLY L LISKEY COMISKEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001112

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

Last Name

LISKEY COMISKEY

Business Name

KIMBERLY L LISKEY COMISKEY

Original Issue Date

01/11/1999

Effective Date

04/04/2018

Expiration Date

03/01/2020

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

11/24/2020