CHRISTIN LEANNE FISHBACK - Physician Assistant License in Missouri | # 085004429

CHRISTIN LEANNE FISHBACK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004429

License Status

NOT RENEWED

Business

N

First Name

CHRISTIN

Middle

LEANNE

Last Name

FISHBACK

Business Name

CHRISTIN LEANNE FISHBACK

Original Issue Date

08/27/2012

Effective Date

08/27/2012

Expiration Date

03/01/2014

State

MO

Ever Disciplined

N

LastModifiedDate

04/08/2014