MARY H QUIGLEY Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****86

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

QUIGLEY

Business Name

MARY H QUIGLEY

Original Issue Date

11/30/2011

Effective Date

02/16/2016

Expiration Date

03/01/2018

City

CENTREVILLE

State

Zip

62207

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2018