DAWN MARIE RUSSELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003450

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

MARIE

Last Name

RUSSELL

Business Name

DAWN MARIE RUSSELL

Original Issue Date

04/09/2009

Effective Date

03/07/2013

Expiration Date

03/01/2014

City

WAYNESVILLE

State

Zip

45068

County

OHIO

Ever Disciplined

LastModifiedDate

04/08/2014