JEANNE MARIE HNILICKA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****11

License Status

INOPERATIVE

Business

First Name

JEANNE

Middle

MARIE

Last Name

HNILICKA

Business Name

JEANNE MARIE HNILICKA

Original Issue Date

06/12/2012

Effective Date

06/12/2012

Expiration Date

03/01/2014

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

07/23/2013