MARY J MCNEELY Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002080

License Status

INACTIVE

Business

First Name

MARY

Middle

Last Name

MCNEELY

Business Name

MARY J MCNEELY

Original Issue Date

09/15/2003

Effective Date

09/15/2003

Expiration Date

03/01/2006

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006