ANNE ELIZABETH BECKER Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003756

License Status

NOT RENEWED

Business

First Name

ANNE

Middle

ELIZABETH

Last Name

BECKER

Business Name

ANNE ELIZABETH BECKER

Original Issue Date

06/17/2010

Effective Date

01/31/2012

Expiration Date

03/01/2014

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

04/08/2014