MELISSA RENEE BACYINSKI - Physician Assistant License in Illinois | # 085002247

MELISSA RENEE BACYINSKI

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002247

License Status

NOT RENEWED

Business

N

First Name

MELISSA

Middle

RENEE

Last Name

BACYINSKI

Business Name

MELISSA RENEE BACYINSKI

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

03/01/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006