HEATHER DAWN SUTHERLIN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004478

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

DAWN

Last Name

SUTHERLIN

Business Name

HEATHER DAWN SUTHERLIN

Original Issue Date

10/01/2012

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

NOVI

State

Zip

48377

Ever Disciplined

LastModifiedDate

09/29/2016