MARISSA PAIGE TAYLOR Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003595

License Status

INACTIVE

Business

First Name

MARISSA

Middle

PAIGE

Last Name

TAYLOR

Business Name

MARISSA PAIGE TAYLOR

Original Issue Date

09/18/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

11/04/2015