HEATHER L BEISSINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001610

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

Last Name

BEISSINGER

Business Name

HEATHER L BEISSINGER

Original Issue Date

07/19/2001

Effective Date

07/19/2001

Expiration Date

03/01/2004

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006