JACQUELINE SOVA CASTAGNO Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****67

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

SOVA

Last Name

CASTAGNO

Business Name

JACQUELINE SOVA CASTAGNO

Original Issue Date

09/10/2013

Effective Date

01/28/2014

Expiration Date

03/01/2016

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

08/08/2016