RENEE VIRGINIA MESSERLY Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****70

License Status

INOPERATIVE

Business

First Name

RENEE

Middle

VIRGINIA

Last Name

MESSERLY

Business Name

RENEE VIRGINIA MESSERLY

Original Issue Date

09/12/2013

Effective Date

01/23/2014

Expiration Date

03/01/2016

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/01/2014