KIMBERLY ANN EARLE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002239

License Status

NOT RENEWED

Business

First Name

KIMBERLY

Middle

ANN

Last Name

EARLE

Business Name

KIMBERLY ANN EARLE

Original Issue Date

04/15/2004

Effective Date

04/15/2004

Expiration Date

03/01/2006

City

LOWELL

State

Zip

49331

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006