MARI ELLEN JANKO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****27

License Status

NOT RENEWED

Business

First Name

MARI

Middle

ELLEN

Last Name

JANKO

Business Name

MARI ELLEN JANKO

Original Issue Date

01/05/2004

Effective Date

12/24/2009

Expiration Date

03/01/2012

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

04/16/2012