LARISSA A BISCOE Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****01

License Status

INOPERATIVE

Business

First Name

LARISSA

Middle

Last Name

BISCOE

Business Name

LARISSA A BISCOE

Original Issue Date

10/01/2012

Effective Date

02/08/2018

Expiration Date

03/01/2020

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

12/18/2019