LINDA W MERICKEL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000058

License Status

NOT RENEWED

Business

First Name

LINDA W

Last Name

MERICKEL

Business Name

LINDA W MERICKEL

Original Issue Date

11/05/1976

Effective Date

11/05/1976

Expiration Date

11/05/1978

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

04/26/2007