VANESSA M RODRIGUEZ Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085003866

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

Last Name

RODRIGUEZ

Business Name

VANESSA M RODRIGUEZ

Original Issue Date

09/15/2010

Effective Date

02/16/2012

Expiration Date

03/01/2014

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

04/08/2014