ANGELA T GIESELER Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

INOPERATIVE

Business

First Name

ANGELA

Middle

Last Name

GIESELER

Business Name

ANGELA T GIESELER

Original Issue Date

10/04/2006

Effective Date

01/30/2014

Expiration Date

03/01/2016

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

03/17/2015