MALLORY E WHEELER KRISPINSKY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004307

License Status

NOT RENEWED

Business

First Name

MALLORY

Middle

Last Name

WHEELER KRISPINSKY

Business Name

MALLORY E WHEELER KRISPINSKY

Original Issue Date

03/28/2012

Effective Date

03/28/2012

Expiration Date

03/01/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

11/23/2015