JAMIE DYAN KEDINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002068

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

DYAN

Last Name

KEDINGER

Business Name

JAMIE DYAN KEDINGER

Original Issue Date

08/29/2003

Effective Date

08/29/2003

Expiration Date

03/01/2004

City

WEST BEND

State

Zip

53090

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/09/2006