MARY JANE MCKEE Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085002113

License Status

NOT RENEWED

Business

First Name

MARY

Middle

JANE

Last Name

MCKEE

Business Name

MARY JANE MCKEE

Original Issue Date

10/08/2003

Effective Date

10/08/2003

Expiration Date

03/01/2004

City

FORT WAYNE

State

Zip

46805

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006