JAMES MICHAEL DIEKEMA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007849

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

MICHAEL

Last Name

DIEKEMA

Business Name

JAMES MICHAEL DIEKEMA

Original Issue Date

07/21/2020

Effective Date

07/21/2020

Expiration Date

03/01/2022

City

ALLEGAN

State

Zip

49010

Ever Disciplined

LastModifiedDate

07/27/2022