GINA MARIE DEIGNAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****83

License Status

NOT RENEWED

Business

First Name

GINA

Middle

MARIE

Last Name

DEIGNAN

Business Name

GINA MARIE DEIGNAN

Original Issue Date

11/05/2007

Effective Date

03/05/2012

Expiration Date

03/01/2014

State

Ever Disciplined

LastModifiedDate

03/28/2014