CLAIRE THERESE STOCKHAUSEN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004357

License Status

NOT RENEWED

Business

First Name

CLAIRE

Middle

THERESE

Last Name

STOCKHAUSEN

Business Name

CLAIRE THERESE STOCKHAUSEN

Original Issue Date

07/17/2012

Effective Date

07/17/2012

Expiration Date

03/01/2014

City

SEATTLE

State

Zip

98102

Ever Disciplined

LastModifiedDate

11/17/2015