PASQUINEL GENEAN GLENN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002926

License Status

NOT RENEWED

Business

First Name

PASQUINEL

Middle

GENEAN

Last Name

GLENN

Business Name

PASQUINEL GENEAN GLENN

Original Issue Date

12/29/2006

Effective Date

01/17/2012

Expiration Date

03/01/2014

City

NEW BADEN

State

Zip

62265

County

CLINTON

Ever Disciplined

LastModifiedDate

04/08/2014