Iowa
Professional Licensing Bureau
Carissa Michelle Spain
Physician Assistants - Physician Assistant
License number
002348
Date granted
10/03/2012
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
2534 250TH AVE DE WITT IA 52742
iowalicenses.org
ID 24187882
LAST UPDATED 2024-03-10 09:21:26 UTC
LAST UPDATED 2024-03-10 09:21:26 UTC
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