LIANA ELIZABETH BOER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005210

License Status

NOT RENEWED

Business

First Name

LIANA

Middle

ELIZABETH

Last Name

BOER

Business Name

LIANA ELIZABETH BOER

Original Issue Date

09/10/2014

Effective Date

02/08/2016

Expiration Date

03/01/2018

City

MACOMB

State

Zip

48042

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/10/2018