ELIZABETH HELEN EPHRAIM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006242

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

HELEN

Last Name

EPHRAIM

Business Name

ELIZABETH HELEN EPHRAIM

Original Issue Date

07/13/2017

Effective Date

02/21/2018

Expiration Date

03/01/2020

City

GRAND RAPIDS

State

Zip

49546

Ever Disciplined

LastModifiedDate

11/24/2020