COURTNEY BERNADETTE BOEHME Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002462

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

BERNADETTE

Last Name

BOEHME

Business Name

COURTNEY BERNADETTE BOEHME

Original Issue Date

02/22/2005

Effective Date

02/22/2005

Expiration Date

03/01/2008

City

STOUGHTON

State

Zip

53589

County

WASHINGTON

Ever Disciplined

LastModifiedDate

04/23/2008