KARIN ANNE COFFMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001995

License Status

NOT RENEWED

Business

First Name

KARIN

Middle

ANNE

Last Name

COFFMAN

Business Name

KARIN ANNE COFFMAN

Original Issue Date

03/13/2003

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

KENOSHA

State

Zip

53142

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/01/2010