LINDSAY AMANDA BOHNERT Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005231

License Status

NOT RENEWED

Business

First Name

LINDSAY

Middle

AMANDA

Last Name

BOHNERT

Business Name

LINDSAY AMANDA BOHNERT

Original Issue Date

09/17/2014

Effective Date

09/17/2014

Expiration Date

03/01/2016

City

PORTLAND

State

Zip

97219

Ever Disciplined

LastModifiedDate

04/25/2016