JULIE ANNE MALNATI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****64

License Status

NOT RENEWED

Business

First Name

JULIE

Middle

ANNE

Last Name

MALNATI

Business Name

JULIE ANNE MALNATI

Original Issue Date

07/23/2008

Effective Date

07/23/2008

Expiration Date

03/01/2010

City

ROCHELLE

State

Zip

61068

County

OGLE

Ever Disciplined

LastModifiedDate

01/20/2009