HALEY C MEDVICK - Physician Assistant License in Missouri | # 085003580

HALEY C MEDVICK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003580

License Status

NOT RENEWED

Business

N

First Name

HALEY

Middle

C

Last Name

MEDVICK

Business Name

HALEY C MEDVICK

Original Issue Date

09/14/2009

Effective Date

03/07/2012

Expiration Date

03/01/2014

State

MO

Ever Disciplined

N

LastModifiedDate

04/08/2014