ANGELA K IANITELLI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007471

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

Last Name

IANITELLI

Business Name

ANGELA K IANITELLI

Original Issue Date

12/30/2019

Effective Date

02/16/2022

Expiration Date

03/01/2024

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

02/05/2025