STACY LYNN SAYUK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001888

License Status

NOT RENEWED

Business

First Name

STACY

Middle

LYNN

Last Name

SAYUK

Business Name

STACY LYNN SAYUK

Original Issue Date

09/24/2002

Effective Date

09/24/2002

Expiration Date

03/01/2006

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

10/09/2006