AIMEE ELIZABETH MASEDUCA Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****54

License Status

INOPERATIVE

Business

First Name

AIMEE

Middle

ELIZABETH

Last Name

MASEDUCA

Business Name

AIMEE ELIZABETH MASEDUCA

Original Issue Date

12/08/2017

Effective Date

12/08/2017

Expiration Date

03/01/2020

City

PEORIA

State

Zip

61637

Ever Disciplined

LastModifiedDate

12/18/2019