SHELLY LYNN THIME PA-C Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000745

License Status

NOT RENEWED

Business

First Name

SHELLY

Middle

LYNN

Last Name

THIME

Suffix

PA-C

Business Name

SHELLY LYNN THIME PA-C

Original Issue Date

02/06/1996

Effective Date

02/06/1996

Expiration Date

03/01/2004

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006