MERISSA L MANN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004852

License Status

NOT RENEWED

Business

First Name

MERISSA

Middle

Last Name

MANN

Business Name

MERISSA L MANN

Original Issue Date

10/02/2013

Effective Date

01/13/2014

Expiration Date

03/01/2016

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

04/25/2016