VICTORIA DIANE STYNINGER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001770

License Status

NOT RENEWED

Business

First Name

VICTORIA

Middle

DIANE

Last Name

STYNINGER

Business Name

VICTORIA DIANE STYNINGER

Original Issue Date

02/26/2002

Effective Date

05/11/2018

Expiration Date

03/01/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

11/24/2020