JASON ROBERT HAARTMAN Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001501

License Status

INACTIVE

Business

First Name

JASON

Middle

ROBERT

Last Name

HAARTMAN

Business Name

JASON ROBERT HAARTMAN

Original Issue Date

12/05/2000

Effective Date

02/11/2010

Expiration Date

03/01/2012

City

HUDSONVILLE

State

Zip

49426

Ever Disciplined

LastModifiedDate

02/22/2012