STACY JEANNE LAACK - Physician Assistant License in Florida | # 085001482

STACY JEANNE LAACK

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001482

License Status

INACTIVE

Business

N

First Name

STACY

Middle

JEANNE

Last Name

LAACK

Business Name

STACY JEANNE LAACK

Original Issue Date

11/13/2000

Effective Date

11/13/2000

Expiration Date

03/01/2006

State

FL

Ever Disciplined

N

LastModifiedDate

10/09/2006