MARISSA PAIGE TAYLOR 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

MARISSA

Middle

PAIGE

Last Name

TAYLOR

Business Name

MARISSA PAIGE TAYLOR

Original Issue Date

09/30/2009

Effective Date

02/24/2010

Expiration Date

03/01/2012

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

11/04/2015