ANGELA MARIE SAFRANEK Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****59

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

SAFRANEK

Business Name

ANGELA MARIE SAFRANEK

Original Issue Date

01/28/2002

Effective Date

01/28/2002

Expiration Date

03/01/2004

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/09/2006