IRAKLI SHENGELIA - Physician Assistant License in Missouri | # 085003990

IRAKLI SHENGELIA

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003990

License Status

INACTIVE

Business

N

First Name

IRAKLI

Last Name

SHENGELIA

Business Name

IRAKLI SHENGELIA

Original Issue Date

02/08/2011

Effective Date

02/26/2014

Expiration Date

03/01/2016

State

MO

Ever Disciplined

N

LastModifiedDate

01/21/2016