MARY ELIZABETH MOENICH - Physician Assistant License in Ohio | # 085005738

MARY ELIZABETH MOENICH

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005738

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

ELIZABETH

Last Name

MOENICH

Business Name

MARY ELIZABETH MOENICH

Original Issue Date

11/23/2015

Effective Date

11/23/2015

Expiration Date

03/01/2016

State

OH

Ever Disciplined

N

LastModifiedDate

04/25/2016