ALEXANDRA MARIE MUSIAL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005900

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Middle

MARIE

Last Name

MUSIAL

Business Name

ALEXANDRA MARIE MUSIAL

Original Issue Date

07/18/2016

Effective Date

02/26/2018

Expiration Date

03/01/2020

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

11/24/2020