MELISSA A ZAAYENGA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001043

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

Last Name

ZAAYENGA

Business Name

MELISSA A ZAAYENGA

Original Issue Date

04/06/1998

Effective Date

04/06/1998

Expiration Date

03/01/2008

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

04/23/2008