MEGAN CARSON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002259

License Status

NOT RENEWED

Business

First Name

MEGAN

Last Name

CARSON

Business Name

MEGAN CARSON

Original Issue Date

07/12/2004

Effective Date

07/12/2004

Expiration Date

03/01/2008

City

GRAND RAPIDS

State

Zip

49534

Ever Disciplined

LastModifiedDate

04/23/2008