ANGELA R GENISIO - Physician Assistant License in Missouri | # 085004301

ANGELA R GENISIO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004301

License Status

NOT RENEWED

Business

N

First Name

ANGELA

Middle

R

Last Name

GENISIO

Business Name

ANGELA R GENISIO

Original Issue Date

03/26/2012

Effective Date

01/11/2022

Expiration Date

03/01/2024

State

MO

Ever Disciplined

N

LastModifiedDate

04/03/2026