CARY MALCZEWSKI Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004216

License Status

NOT RENEWED

Business

First Name

CARY

Last Name

MALCZEWSKI

Business Name

CARY MALCZEWSKI

Original Issue Date

10/17/2011

Effective Date

01/22/2015

Expiration Date

03/01/2016

City

DECKER

State

Zip

47524

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016