MARY ELIZABETH DOLAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003544

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ELIZABETH

Last Name

DOLAN

Business Name

MARY ELIZABETH DOLAN

Original Issue Date

08/20/2009

Effective Date

02/01/2012

Expiration Date

03/01/2014

City

FESTUS

State

Zip

63028

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/08/2014