ALEXIS THIEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008072

License Status

NOT RENEWED

Business

First Name

ALEXIS

Last Name

THIEL

Business Name

ALEXIS THIEL

Original Issue Date

11/06/2020

Effective Date

11/06/2020

Expiration Date

03/01/2022

City

HORTONVILLE

State

Zip

54944

Ever Disciplined

LastModifiedDate

07/27/2022