MEREDITH ANN WICKLINE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002373

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

ANN

Last Name

WICKLINE

Business Name

MEREDITH ANN WICKLINE

Original Issue Date

10/05/2004

Effective Date

10/05/2004

Expiration Date

03/01/2006

City

TOUGHKENAMON

State

Zip

19374

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006