MICHAEL STEVEN GODAT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000194

License Status

NOT RENEWED

Business

First Name

MICHAEL STEVEN

Last Name

GODAT

Business Name

MICHAEL STEVEN GODAT

Original Issue Date

05/09/1981

Effective Date

01/22/2014

Expiration Date

03/01/2016

City

BLACKWELL

State

Zip

63626

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016