License holder summary

Tera Nicole Diewold is a Physician Assistants - Physician Assistant licensed to practice in Iowa. The address on file for Tera Nicole Diewold is 4437 170TH AVE CARLISLE IA 50047. This licensed professional license is current. The license was granted 06/28/2010 and expired on 09/30/2016.

Iowa

Professional Licensing Bureau

Tera Nicole Diewold
Physician Assistants - Physician Assistant
License number
002114
Date granted
06/28/2010
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
4437 170TH AVE CARLISLE IA 50047
iowalicenses.org
ID 24190666
LAST UPDATED 2024-01-26 08:24:00 UTC

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