MICHELLE KELLER Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005275

License Status

INACTIVE

Business

First Name

MICHELLE

Last Name

KELLER

Business Name

MICHELLE KELLER

Original Issue Date

09/30/2014

Effective Date

09/30/2014

Expiration Date

03/01/2016

City

CORVALLIS

State

Zip

97333

Ever Disciplined

LastModifiedDate

03/17/2016