EMILIO E BIANCHI Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

INOPERATIVE

Business

First Name

EMILIO

Middle

Last Name

BIANCHI

Business Name

EMILIO E BIANCHI

Original Issue Date

05/19/2017

Effective Date

05/19/2017

Expiration Date

03/01/2018

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2018