ALYSSA JAE STOCKE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005270

License Status

NOT RENEWED

Business

First Name

ALYSSA

Middle

JAE

Last Name

STOCKE

Business Name

ALYSSA JAE STOCKE

Original Issue Date

09/30/2014

Effective Date

02/27/2018

Expiration Date

03/01/2020

City

FAIRBURY

State

Zip

61739

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

11/24/2020