MARY JEAN R LI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****76

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JEAN R

Last Name

Business Name

MARY JEAN R LI

Original Issue Date

02/15/2005

Effective Date

06/09/2009

Expiration Date

03/01/2010

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

02/10/2011