STEPHANIE L NATYSHOK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****12

License Status

NOT RENEWED

Business

First Name

STEPHANIE L

Last Name

NATYSHOK

Business Name

STEPHANIE L NATYSHOK

Original Issue Date

04/01/2003

Effective Date

01/15/2014

Expiration Date

03/01/2016

City

HERRIN

State

Zip

62948

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/09/2016