Iowa
Professional Licensing Bureau
NICHOLAS P FORD
Physician Assistants - Physician Assistant
License number
001589
Date granted
08/24/2004
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
541 COUNTRY CLUB BLVD DES MOINES IA 50312
iowalicenses.org
ID 24189970
LAST UPDATED 2024-03-04 08:18:35 UTC
LAST UPDATED 2024-03-04 08:18:35 UTC
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