ANGELA MARIE SAFRANEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001635

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

SAFRANEK

Business Name

ANGELA MARIE SAFRANEK

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

03/01/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006