BARBARA ANNE SERVISS Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001231

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

ANNE

Last Name

SERVISS

Business Name

BARBARA ANNE SERVISS

Original Issue Date

08/16/1999

Effective Date

12/14/2007

Expiration Date

03/01/2010

City

HAINESVILLE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

04/01/2010