LINDSEY C POULSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000991

License Status

NOT RENEWED

Business

First Name

LINDSEY

Middle

Last Name

POULSEN

Business Name

LINDSEY C POULSEN

Original Issue Date

01/20/1998

Effective Date

03/23/2011

Expiration Date

03/01/2012

City

EUGENE

State

Zip

97408

Ever Disciplined

LastModifiedDate

04/11/2012