Iowa
Professional Licensing Bureau
Andrea Kaye Dietzenbach
Physician Assistants - Physician Assistant
License number
002140
Date granted
08/04/2010
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
PO BOX 266 SAINT LUCAS IA 52166
iowalicenses.org
ID 24187611
LAST UPDATED 2024-04-01 22:57:55 UTC
LAST UPDATED 2024-04-01 22:57:55 UTC
This website is unaffiliated with the Professional Licensing Bureau. Please verify all information directly with the relevant official government authority.