HALEY S COWAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006138

License Status

NOT RENEWED

Business

First Name

HALEY

Middle

Last Name

COWAN

Business Name

HALEY S COWAN

Original Issue Date

02/21/2017

Effective Date

02/21/2017

Expiration Date

03/01/2018

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

05/10/2018