SCOTT COLBURN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000245

License Status

NOT RENEWED

Business

First Name

SCOTT

Last Name

COLBURN

Business Name

SCOTT COLBURN

Original Issue Date

02/22/1983

Effective Date

02/10/2016

Expiration Date

03/01/2018

City

FRIENDSHIP

State

Zip

53934

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/10/2018