ANN CATHERINE MELLING Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006557

License Status

NOT RENEWED

Business

First Name

ANN

Middle

CATHERINE

Last Name

MELLING

Business Name

ANN CATHERINE MELLING

Original Issue Date

03/26/2018

Effective Date

03/26/2018

Expiration Date

03/01/2020

City

JACKSON

State

Zip

49203

Ever Disciplined

LastModifiedDate

11/24/2020