DONALD W LEMOINE II Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000615

License Status

NOT RENEWED

Business

First Name

DONALD

Middle

Last Name

LEMOINE

Suffix

Business Name

DONALD W LEMOINE II

Original Issue Date

06/13/1994

Effective Date

04/01/2020

Expiration Date

03/01/2022

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022