ANN MARIE PATTY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003895

License Status

NOT RENEWED

Business

First Name

ANN

Middle

MARIE

Last Name

PATTY

Business Name

ANN MARIE PATTY

Original Issue Date

09/24/2010

Effective Date

03/05/2018

Expiration Date

03/01/2020

City

MONMOUTH

State

Zip

61462

County

WARREN

Ever Disciplined

LastModifiedDate

11/24/2020