WHITNEY LANE DIXON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005273

License Status

NOT RENEWED

Business

First Name

WHITNEY

Middle

LANE

Last Name

DIXON

Business Name

WHITNEY LANE DIXON

Original Issue Date

09/30/2014

Effective Date

09/30/2014

Expiration Date

03/01/2016

City

COLEMAN

State

Zip

48618

County

MICHIGAN

Ever Disciplined

LastModifiedDate

04/25/2016