RAQUEL GRANT VENABLE - Physician Assistant License in Indiana | # 085001494

RAQUEL GRANT VENABLE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001494

License Status

NOT RENEWED

Business

N

First Name

RAQUEL

Middle

GRANT

Last Name

VENABLE

Business Name

RAQUEL GRANT VENABLE

Original Issue Date

12/01/2000

Effective Date

12/01/2000

Expiration Date

03/01/2002

State

IN

Ever Disciplined

N

LastModifiedDate

10/09/2006