ANASTACIA AUSTRIACO MESINA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008191

License Status

NOT RENEWED

Business

First Name

ANASTACIA

Middle

AUSTRIACO

Last Name

MESINA

Business Name

ANASTACIA AUSTRIACO MESINA

Original Issue Date

02/05/2021

Effective Date

02/05/2021

Expiration Date

03/01/2022

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

07/27/2022