DAWN LEE ACKERMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003646

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

LEE

Last Name

ACKERMAN

Business Name

DAWN LEE ACKERMAN

Original Issue Date

10/15/2009

Effective Date

03/07/2016

Expiration Date

03/01/2018

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/10/2018