STEPHANIE L NATYSHOK Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001987

License Status

ACTIVE

Business

First Name

STEPHANIE L

Last Name

NATYSHOK

Business Name

STEPHANIE L NATYSHOK

Original Issue Date

02/19/2003

Effective Date

05/10/2024

Expiration Date

03/01/2026

City

ENERGY

State

Zip

62933

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

12/03/2025