JANENE S MISAK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000564

License Status

NOT RENEWED

Business

First Name

JANENE S

Last Name

MISAK

Business Name

JANENE S MISAK

Original Issue Date

11/17/1993

Effective Date

04/07/2014

Expiration Date

03/01/2016

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/25/2016