MICHAEL ANTHONY CRACCHIOLO - Physician Assistant License in Missouri | # 085000579

MICHAEL ANTHONY CRACCHIOLO

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000579

License Status

INACTIVE

Business

N

First Name

MICHAEL ANTHONY

Last Name

CRACCHIOLO

Business Name

MICHAEL ANTHONY CRACCHIOLO

Original Issue Date

01/14/1994

Effective Date

01/14/1994

Expiration Date

03/01/2006

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006