MEREDITH C H WOTKA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006096

License Status

NOT RENEWED

Business

First Name

MEREDITH

Middle

C H

Last Name

WOTKA

Business Name

MEREDITH C H WOTKA

Original Issue Date

12/29/2016

Effective Date

12/29/2022

Expiration Date

03/01/2024

City

FALLS CHURCH

State

Zip

22046

County

VIRGINIA

Ever Disciplined

LastModifiedDate

02/05/2025