LAURA MARIE HAIDET Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005073

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

HAIDET

Business Name

LAURA MARIE HAIDET

Original Issue Date

07/14/2014

Effective Date

07/14/2014

Expiration Date

03/01/2016

City

COLUMBUS

State

Zip

43212

County

OHIO

Ever Disciplined

LastModifiedDate

04/25/2016