RENEE VIRGINIA MESSERLY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004792

License Status

NOT RENEWED

Business

First Name

RENEE

Middle

VIRGINIA

Last Name

MESSERLY

Business Name

RENEE VIRGINIA MESSERLY

Original Issue Date

08/08/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/25/2016