ALLYSEN PATRICIA ARBELAEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005202

License Status

NOT RENEWED

Business

First Name

ALLYSEN

Middle

PATRICIA

Last Name

ARBELAEZ

Business Name

ALLYSEN PATRICIA ARBELAEZ

Original Issue Date

09/08/2014

Effective Date

09/08/2014

Expiration Date

03/01/2016

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/25/2016