AIMEE ELIZABETH MASEDUCA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006163

License Status

NOT RENEWED

Business

First Name

AIMEE

Middle

ELIZABETH

Last Name

MASEDUCA

Business Name

AIMEE ELIZABETH MASEDUCA

Original Issue Date

03/28/2017

Effective Date

03/01/2018

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

11/24/2020