LOUISE M HILDEBOLT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001629

License Status

NOT RENEWED

Business

First Name

LOUISE

Middle

Last Name

HILDEBOLT

Business Name

LOUISE M HILDEBOLT

Original Issue Date

08/27/2001

Effective Date

12/09/2009

Expiration Date

03/01/2012

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/11/2012