MICHELLE CHRISTINE MALZAHN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005711

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

CHRISTINE

Last Name

MALZAHN

Business Name

MICHELLE CHRISTINE MALZAHN

Original Issue Date

10/16/2015

Effective Date

10/16/2015

Expiration Date

03/01/2016

City

BALLWIN

State

Zip

63021

County

MISSOURI

Ever Disciplined

LastModifiedDate

04/25/2016