LARISSA A BISCOE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004415

License Status

NOT RENEWED

Business

First Name

LARISSA

Middle

Last Name

BISCOE

Business Name

LARISSA A BISCOE

Original Issue Date

08/20/2012

Effective Date

02/08/2018

Expiration Date

03/01/2020

City

BETTENDORF

State

Zip

52722

County

SCOTT

Ever Disciplined

LastModifiedDate

11/24/2020