MELISSA RENEE BACYINSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002247

License Status

NOT RENEWED

Business

First Name

MELISSA

Middle

RENEE

Last Name

BACYINSKI

Business Name

MELISSA RENEE BACYINSKI

Original Issue Date

06/09/2004

Effective Date

06/09/2004

Expiration Date

03/01/2006

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006