License holder summary

BLYTHE D WALTERSDORF is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for BLYTHE D WALTERSDORF is 1691 205TH ST CRESTON IA 50801. This licensed professional license is current. The license was granted 02/23/2001 and expired on 09/30/2016.

Iowa

Professional Licensing Bureau

BLYTHE D WALTERSDORF
Physician Assistants - Physician Assistant
License number
001293
Date granted
02/23/2001
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
1691 205TH ST CRESTON IA 50801
iowalicenses.org
ID 24187771
LAST UPDATED 2024-03-10 18:34:42 UTC

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