SARAH VANWYNEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008552

License Status

NOT RENEWED

Business

First Name

SARAH

Last Name

VANWYNEN

Business Name

SARAH VANWYNEN

Original Issue Date

08/22/2021

Effective Date

08/22/2021

Expiration Date

03/01/2022

City

FOWLERVILLE

State

Zip

48836

Ever Disciplined

LastModifiedDate

07/27/2022