JAMIE LACHETA Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007760

License Status

NOT RENEWED

Business

First Name

JAMIE

Last Name

LACHETA

Business Name

JAMIE LACHETA

Original Issue Date

06/16/2020

Effective Date

06/16/2020

Expiration Date

03/01/2022

City

WARSAW

State

Zip

46580

Ever Disciplined

LastModifiedDate

07/27/2022