MEGAN NICOLE PARHAM Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001468

License Status

NOT RENEWED

Business

First Name

MEGAN

Middle

NICOLE

Last Name

PARHAM

Business Name

MEGAN NICOLE PARHAM

Original Issue Date

11/08/2000

Effective Date

11/08/2000

Expiration Date

03/01/2002

City

APPLETON

State

Zip

54915

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006