ANDREA R MCGUIRE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000922

License Status

NOT RENEWED

Business

First Name

ANDREA R

Last Name

MCGUIRE

Business Name

ANDREA R MCGUIRE

Original Issue Date

07/08/1997

Effective Date

07/08/1997

Expiration Date

03/01/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006